Active NPI
Duane Woodruff
- Physical Therapist
- Monticello, NY
National Provider Identifier
1770854804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021587-1
- Practice address
- Benmosche Rd
Monticello, NY 12742 - Phone
- (845) 707-6082
- NPI assigned
- Jan 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021587-1 | NY | Primary |
Addresses
Primary practice location
Benmosche Rd
Monticello, NY 12742
Mailing address
171 Bible Camp Rd
Bloomingburg, NY 12721-3037
Phone (845) 361-3956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021587-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1770854804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 BIBLE CAMP RD",
"city": "BLOOMINGBURG",
"state": "NY",
"postal_code": "127213037",
"telephone_number": "845-361-3956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BENMOSCHE RD",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "12742",
"telephone_number": "845-707-6082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "DUANE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021587-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.