Individual provider Active NPI

Kimberli Woodard, DPT

  • Physical Therapist
  • Willows, CA
National Provider Identifier
1811057698
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33327 Issued in CA
Practice address
116 S Lassen St
Willows, CA 95988-3009
Phone
(530) 934-2870
Fax
(530) 934-2867
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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 PT33327 CA Primary

Addresses

Primary practice location

116 S Lassen St
Willows, CA 95988-3009

Mailing address

PO Box 493396
Redding, CA 96049-3396

Other names 1

  • Miss Kimberli Adams Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000572 CA Practitioner - Physical Therapist in Private Practice 8527069855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Physical Therapy IncGroup PAC ID 8022076348, 36 clinicians

Practice addresses (Care Compare)

1031 Village LN
Chico, CA 95926-2812
Phone (530) 897-0991

Merit-based Incentive Payment System (MIPS)

Final score
76.21 of 100Reported as group
Quality
38.71
Promoting interoperability
100
Improvement activities
40
Cost
68.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33327CAMDGeneral Practice Dentistry
PT33327CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Feb 20, 2012 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Feb 20, 2012 Accepting new patients

Locations

1031 Village Ln
Chico, CA 95926
Phone (530) 897-0991

844 Bridge St
Ste C
Colusa, CA 95932
Phone (530) 458-7770

1516 State Highway 99
Ste G
Gridley, CA 95948
Phone (530) 846-8018

116 S Lassen St
Willows, CA 95988
Phone (530) 934-2870

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1811057698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493396",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960493396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S LASSEN ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959883009",
            "telephone_number": "530-934-2870",
            "fax_number": "530-934-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "KIMBERLI",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLI",
            "last_name": "ADAMS",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willows, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.