Individual provider Active NPI

Loren Tyler Wooldridge, DPT

  • Orthopedic Physical Therapist
  • Carson City, NV
National Provider Identifier
1831538420
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3225 Issued in NV
Practice address
4250 Cochise St # 80
Carson City, NV 89703-6367
Phone
(775) 525-8681
Fax
(775) 525-8681
NPI assigned
Jun 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Orthopedic Physical Therapist 2251X0800X 3225 NV Primary

Addresses

Primary practice location

4250 Cochise St # 80
Carson City, NV 89703-6367

Mailing address

4250 Cochise St # 80
Carson City, NV 89703-6367
Phone (775) 525-8681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801004666 NV Practitioner - Physical Therapist in Private Practice 9133665011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Utah School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health CoGroup PAC ID 7315483294, 3 clinicians

Practice addresses (Care Compare)

1102 N Curry St
Carson City, NV 89703-3801
Phone (775) 525-8681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Co Physical Therapist CurrentSince May 12, 2024 Accepting new patients
The Health Lab, LLC Physical Therapist CurrentSince Oct 17, 2021 Accepting new patients

Locations

4250 Cochise St
Ste 80
Carson City, NV 89703
Phone (775) 525-8681

1102 N Curry St
Carson City, NV 89703
Phone (775) 525-8681

Organizations & group practices 2

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1831538420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 COCHISE ST # 80",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897036367",
            "telephone_number": "775-525-8681",
            "fax_number": "775-525-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 COCHISE ST # 80",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897036367",
            "telephone_number": "775-525-8681",
            "fax_number": "775-525-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "LOREN",
        "middle_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "3225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.