Active NPI
Brianna Sue Wood, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1780378323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22306
- Practice address
- 3800 Shamrock Dr
Charlotte, NC 28215-3220 - Phone
- (704) 324-8237
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- 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 | P22306 | NC | Primary |
Addresses
Primary practice location
3800 Shamrock Dr
Charlotte, NC 28215-3220
Mailing address
7017 Blithe Low PL
Charlotte, NC 28273-3407
Phone (785) 741-4377
Other practice location 1
600 Fullwood Rd
Matthews, NC 28105-2659
Phone (704) 841-4920
Other names 1
- Brianna Sue Tummons
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 |
|---|---|---|---|
| P22306 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1780378323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7017 BLITHE LOW PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282733407",
"telephone_number": "785-741-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SHAMROCK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153220",
"telephone_number": "704-324-8237"
}
],
"practiceLocations": [
{
"address_1": "600 Fullwood Rd",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281052659",
"country_code": "US",
"telephone_number": "704-841-4920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "BRIANNA",
"middle_name": "SUE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "TUMMONS",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.