Anthony Woodard

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501301842 Issued in MI

Practice address

1840 Wealthy St SE
Grand Rapids, MI 49506-2921

Phone

(616) 774-7444

NPI assigned

Sep 8, 2022

Last updated

Sep 8, 2022By the provider in NPPES

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Western Michigan Un Homer Stryker School of Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amerifirst Physical Therapy and Wellness LLCGroup PAC ID 9830639558, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amerifirst Physical Therapy and Wellness LLC

  • Physical Therapist
  • Jenison, MI
  • NPI 1235984451
  Medicare reassignment Care Compare group NPD
• Thrive PT Group, LLC

  • Physical Therapy Clinic/Center
  • Norton Shores, MI
  • NPI 1841079092

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Home Connection Therapy LLC

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1265005151

  Physical Therapist

  NPD

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1750002622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 RIDGEVIEW DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416143",
            "telephone_number": "231-670-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WEALTHY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062921",
            "telephone_number": "616-774-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Wood, MD
• Shelli Marie Wood, D.C.
• Taylor Wood
• Taylor Caitlin Wood, COTA/L
• Taylor M Wood
• Zackary Douglas Woodard
• Emily Woodcock, RD
• Adelyn Wooden, LMSW
• Woodland Chiropractic PLLC (Active Life Chiropractic)
• Sydney Jade Woodman, SLP

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.