Individual provider Active NPI

Bradley C Woo, PT

  • Orthopedic Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1730327610
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT18991 Issued in CA
Practice address
2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011
Phone
(805) 370-1020
Fax
(805) 370-1022
NPI assigned
Jan 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT18991 CA Primary

Addresses

Primary practice location

2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011

Mailing address

2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011
Phone (805) 370-1020

Other identifiers 1

IdentifierTypeStateIssuer
PT18991OtherCASTATE CA PHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100524000522 CA Practitioner - Physical Therapist in Private Practice 2264561794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartley Physical Therapy PCGroup PAC ID 9133306723, 12 clinicians

Practice addresses (Care Compare)

2166 N Moorpark Rd
Suite 200
Thousand Oaks, CA 91360-5009
Phone (805) 370-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bartley Physical Therapy PC Orthopedic CurrentSince Apr 1, 2011 Accepting new patients

Locations

2166 N Moorpark Rd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 370-1020

2667 N Moorpark Rd
Ste 108
Thousand Oaks, CA 91360
Phone (805) 492-0429

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1730327610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 N MOORPARK RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605011",
            "telephone_number": "805-370-1020",
            "fax_number": "805-370-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 N MOORPARK RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605011",
            "telephone_number": "805-370-1020",
            "fax_number": "805-370-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "BRADLEY",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT18991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CA PHYSICAL THERAPY LICENSE",
            "identifier": "PT18991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.