Wooderson Physiotherapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WOODERSON PHYSIOTHERAPY

Practice address

1212 Delaware St
Denver, CO 80204-3610

Phone

(720) 776-0795

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Ryan Wooderson, DPTNPI 1417212622

Title

Staff Therapist

Phone

(620) 921-5446

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Long Run Physiotherapy & Performance Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Wooderson, PT, DPT

  • Orthopedic Physical Therapist
  • Denver, CO
  • NPI 1417212622
  NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1760134803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 E MINERAL PL",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 DELAWARE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043610",
            "telephone_number": "720-776-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODERSON PHYSIOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "WOODERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "STAFF THERAPIST",
        "authorized_official_telephone_number": "620-921-5446",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417212622",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://longrunphysio.janeapp.com/admin",
            "affiliation": "N",
            "endpointDescription": "Web-based EMR",
            "address_1": "1212 Delaware St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802043610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Long Run Physiotherapy & Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli Ann Woodard, MA LCSW
• Mark Woodard
• Andi Woodbury, D.O.
• Blair Woodbury, M.D.
• Sandra Woodbury, RMT
• Ryan Wooderson, PT, DPT
• Cori Woodland, LPC, LAC
• Toni Fuller Woodrick, RC, CNA
• Olivia Jayne Woodring, LPCC, CNHP
• James Piper Woodrow, M.D.

• Physical Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.