Nathan J. Woollard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010552 Issued in OH

Practice address

2660 W Market St
Ste 300
Fairlawn, OH 44333-4206

Phone

(330) 869-2635

Fax

(330) 869-8315

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Rutgers New Jersey Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Center LLCGroup PAC ID 9739575986, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PT Center LLC

  • Physical Therapist
  • Fairlawn, OH
  • NPI 1467115030
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1740285188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 W MARKET ST",
            "address_2": "STE 300",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334206",
            "telephone_number": "330-869-2635",
            "fax_number": "330-869-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 W MARKET ST",
            "address_2": "STE 300",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334206",
            "telephone_number": "330-869-2635",
            "fax_number": "330-869-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLARD",
        "first_name": "NATHAN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Phan Wolff, M.S., BCBA, COBA
• Jennifer Lynn Wolverton, M.S., OTR/L
• Vannesa Woodall-Powell
• Kayla Woodall
• Allison Woods
• Paul A Wright, M.D.
• Benita Yong Wu, MD
• Jennifer Lynn Wurst, MD
• Kathleen Wyler, OTR/L
• Dawn Wynn

• Physical Therapist in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.