Individual provider Active NPI

Wendy S. Wood, DPT

  • Physical Therapist
  • Laguna Niguel, CA
National Provider Identifier
1750660171
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25989 Issued in CA
Practice address
30101 Town Center Dr
103
Laguna Niguel, CA 92677-5006
Phone
(949) 444-9917
NPI assigned
Aug 16, 2011
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25989 CA Primary

Addresses

Primary practice location

30101 Town Center Dr
103
Laguna Niguel, CA 92677-5006

Mailing address

29911 Niguel Rd
6704
Laguna Niguel, CA 92607-2479
Phone (949) 444-9917

Other practice location 1

31271 Niguel Rd Ste J
Laguna Niguel, CA 92677-4135
Phone (949) 443-5442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221000776 CA Practitioner - Physical Therapist in Private Practice 2961703194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Physical Therapy, Inc.Group PAC ID 4385634443, 15 clinicians

Practice addresses (Care Compare)

31271 Niguel Rd
Suite J
Laguna Niguel, CA 92677-4135
Phone (949) 443-5442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25989CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Physical Therapy, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Deborah Weinstein Physical Therapy Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

31271 Niguel Rd
Ste J
Laguna Niguel, CA 92677
Phone (949) 370-4061

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1750660171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29911 NIGUEL RD",
            "address_2": "6704",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926072479",
            "telephone_number": "949-444-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 TOWN CENTER DR",
            "address_2": "103",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775006",
            "telephone_number": "949-444-9917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31271 Niguel Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926774135",
            "country_code": "US",
            "telephone_number": "949-443-5442",
            "fax_number": "949-443-5463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "WENDY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.