Heather Georgeson Woodcock

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27001 Issued in MD

Practice address

810 Landmark Dr Ste 110
Glen Burnie, MD 21061-4987

Phone

(410) 761-7660

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Nicole Georgeson Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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.

• Allan H Macht PA

  • Surgery Physician
  • Baltimore, MD
  • NPI 1306061783
  Medicare reassignment NPD
• Progressive Physical Therapy, LLC

  • Physical Therapist
  • Baltimore, MD
  • NPI 1649875030
  NPD
• Allan H Macht PA

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1194512863
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1770076952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 S CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LANDMARK DR STE 110",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614987",
            "telephone_number": "410-761-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOCK",
        "first_name": "HEATHER",
        "middle_name": "GEORGESON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GEORGESON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Woo, DMD
• Christopher Wood
• Martresha Wood
• Richard T Wood, MD
• Suzanne Louise Wood, RN
• Michelle Woodworth
• Work Life Behavioral Health and Professional Training LLC
• Work Life Primary Care LLC
• Work Life Urgent Care LLC
• Lissette Wright

• Physical Therapist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.