Individual provider Active NPI

Theresa Diane Woodward, OTR

  • Occupational Therapist
  • New Braunfels, TX
National Provider Identifier
1730379181
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
109928 Issued in TX
Practice address
3016 Independence Dr Ste 201
New Braunfels, TX 78132-5461
Phone
(830) 223-8309
Fax
(830) 321-0203
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 109928 TX Primary

Addresses

Primary practice location

3016 Independence Dr Ste 201
New Braunfels, TX 78132-5461

Mailing address

PO Box 932184
Atlanta, GA 31193-2184
Phone (806) 771-1040

Other names 1

  • Theresa Diane Chamberlain Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218003415 TX Practitioner - Occupational Therapist in Private Practice 1557898327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Braunfels Hand and Physical Therapy LLCGroup PAC ID 3375028509, 2 clinicians
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

1495 N Business Ih
35 Suite 100
New Braunfels, TX 78130-3155
Phone (210) 556-5564

3016 Independence Dr
Suite 201
New Braunfels, TX 78132-4477
Phone (830) 223-8309

6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546

896 Summit St
Suite 102
Round Rock, TX 78664-4370
Phone (512) 599-4262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109928TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc CurrentSince Nov 15, 2024 Accepting new patients
Endeavor Rehab Center Inc Occupational Therapist CurrentSince Nov 15, 2024 Accepting new patients
New Braunfels Hand & Physical Therapy LLC Occupational Therapist CurrentSince Feb 3, 2026 Accepting new patients

Locations

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

1495 N Business Ih 35
Ste 100
New Braunfels, TX 78130
Phone (210) 556-5564

3016 Independence Dr
Ste 201
New Braunfels, TX 78132
Phone (830) 223-8309

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611

Organizations & group practices 3

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1730379181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184",
            "telephone_number": "806-771-1040",
            "fax_number": "806-771-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 INDEPENDENCE DR STE 201",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325461",
            "telephone_number": "830-223-8309",
            "fax_number": "830-321-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "THERESA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "CHAMBERLAIN",
            "middle_name": "DIANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.