Individual provider Active NPI

Danielle Woodring

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1821648577
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16591 Issued in FL
Practice address
905 Assisi LN
Jacksonville, FL 32233-2972
Phone
(904) 667-3660
Fax
(904) 240-4429
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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 PT16591 FL Primary

Addresses

Primary practice location

905 Assisi LN
Jacksonville, FL 32233-2972

Mailing address

905 Assisi LN
Jacksonville, FL 32233-2972
Phone (904) 667-3660

Other identifiers 1

IdentifierTypeStateIssuer
PT16591OtherFLLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.MOTIONPTG.COM Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16591FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1821648577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ASSISI LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322332972",
            "telephone_number": "904-667-3660",
            "fax_number": "904-240-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ASSISI LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322332972",
            "telephone_number": "904-667-3660",
            "fax_number": "904-240-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRING",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT16591",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.MOTIONPTG.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "905 Assisi Ln",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322332972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.