Emily Diana Woodruff, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2066281 Issued in TX

Practice address

1336 N University Dr
Nacogdoches, TX 75961-4219

Phone

(936) 569-7300

Fax

(936) 569-7301

NPI assigned

Jul 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Emily Diana Ackerson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ressler Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Nacogdoches, TX
  • NPI 1649473869
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1841454345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614219",
            "telephone_number": "936-569-7300",
            "fax_number": "936-569-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614219",
            "telephone_number": "936-569-7300",
            "fax_number": "936-569-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "EMILY",
        "middle_name": "DIANA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2066281",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "010602028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ACKERSON",
            "middle_name": "DIANA",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reyna Nicole Witherspoon, LCSW
• Gregory Paul Wittpenn, M.D.
• Woden Isd
• Janae Kimberly Wojasinski, LPC
• Wallace D Womack, CRNA
• Chelsi Woods
• Carrie Wright, IBCLC
• WT Manor LP (Westward Trails Rehabilitation and Healthcare Center)
• Kangni Wu
• Stephen Edward Wyatt, PHARMD, RPH

• Physical Therapy Assistant in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.