Individual provider Active NPI

Seneca J Woods, DPT,MOT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1710012430
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2182 Issued in ID
Practice address
7550 W Emerald St Ste 101
Boise, ID 83704-9015
Phone
(208) 375-0666
Fax
(208) 375-2996
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2182 ID Primary
Occupational Therapist 225X00000X PT-815 ID

Addresses

Primary practice location

7550 W Emerald St Ste 101
Boise, ID 83704-9015

Mailing address

7550 W Emerald St Ste 101
Boise, ID 83704-9015
Phone (208) 375-0666

Other identifiers 2

IdentifierTypeStateIssuer
000010160967OtherIDREGENCE BLUE SHIELD OF ID
TD581OtherIDBLUE CROSS OF IDAHO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2182IDMDPhysical Therapist
PT-815IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy P C Physical Therapist PastSince Nov 19, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1710012430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W EMERALD ST STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049015",
            "telephone_number": "208-375-0666",
            "fax_number": "208-375-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W EMERALD ST STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049015",
            "telephone_number": "208-375-0666",
            "fax_number": "208-375-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "SENECA",
        "middle_name": "J",
        "credential": "DPT,MOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT2182",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "PT-815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010160967",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "TD581",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.