Dan Woodworth

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19400 Issued in CA

Practice address

2700 E Foothill Blvd
Suite 121
Pasadena, CA 91107-7100

Phone

(626) 449-4347

Fax

(626) 449-4317

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vincent Physical Therapy CorporationGroup PAC ID 0941256614, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vincent Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Pasadena, CA
  • NPI 1225009871

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851305486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD",
            "address_2": "SUITE 121",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077100",
            "telephone_number": "626-449-4347",
            "fax_number": "626-449-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD",
            "address_2": "SUITE 121",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077100",
            "telephone_number": "626-449-4347",
            "fax_number": "626-449-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "DAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BLUE CROSS",
            "identifier": "PT19400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHILED GROUP NUMBER",
            "identifier": "ZZZ03532Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Woodruff
• Amy Woods, M.D.
• Gerry Dwaine Woods, D.D.S.
• Jacqueline G Woods, LMFT
• Nathaniel Anthony Woods Jr., PSY.D.
• Rebekah Woolery, LCSW
• Nicole Woolf, LCSW 110339
• Malia Rhiannon Kehaunani Woolsey, NP
• Leya Eiki Worcester, LCSW
• Work of Art Enterprises

• Physical Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.