Individual provider Active NPI

Widd W Workman, DPT

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
National Provider Identifier
1740359132
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
7440 Issued in AZ
Practice address
323 S Gilbert Rd
Ste 115
Gilbert, AZ 85296-1602
Phone
(480) 632-6667
Fax
(480) 632-6668
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 7440 AZ Primary

Addresses

Primary practice location

323 S Gilbert Rd
Ste 115
Gilbert, AZ 85296-1602

Mailing address

323 S Gilbert Rd
Ste 115
Gilbert, AZ 85296-1602
Phone (480) 632-6667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070105000144 AZ Practitioner - Physical Therapist in Private Practice 5092715623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Work Physical Therapy PLCGroup PAC ID 7113089293, 3 clinicians

Practice addresses (Care Compare)

323 S Gilbert Rd
Suite 115
Gilbert, AZ 85296-1608
Phone (480) 632-6667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7440AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Work Physical Therapy PLC CurrentSince Dec 1, 2008 Accepting new patients
Diamondback Physical Therapy Physical Therapist PastSince Dec 1, 2008 Accepting new patients

Locations

323 S Gilbert Rd
Ste 115
Gilbert, AZ 85296
Phone (480) 632-6667

22050 E Queen Creek Rd
Queen Creek, AZ 85142
Phone (480) 632-6667

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1740359132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S GILBERT RD",
            "address_2": "STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961602",
            "telephone_number": "480-632-6667",
            "fax_number": "480-632-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S GILBERT RD",
            "address_2": "STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961602",
            "telephone_number": "480-632-6667",
            "fax_number": "480-632-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "WIDD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "7440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.