Active NPI
Kerry Woods, PT
- Physical Therapist
- Lake Charles, LA
National Provider Identifier
1861639387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03301F
- Practice address
- 4080 Nelson Rd Ste 400
Lake Charles, LA 70605-2439 - Phone
- (337) 497-0434
- Fax
- (337) 497-0469
- NPI assigned
- Jan 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03301F | LA | Primary |
Addresses
Primary practice location
4080 Nelson Rd Ste 400
Lake Charles, LA 70605-2439
Mailing address
4080 Nelson Rd Ste 400
Lake Charles, LA 70605-2439
Phone (337) 497-0434
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Rehabilitation Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Lake Charles, LA
- NPI 1518993112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1861639387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 NELSON RD STE 400",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052439",
"telephone_number": "337-497-0434",
"fax_number": "337-497-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 NELSON RD STE 400",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052439",
"telephone_number": "337-497-0434",
"fax_number": "337-497-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "KERRY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "03301F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.