Andrea Lynette Woodrich, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 3569 Issued in OR

Practice address

598 E 13TH Ave
C/O Eugene Urgent Care
Eugene, OR 97401-4267

Phone

(541) 636-3473

Fax

(541) 636-3480

NPI assigned

Sep 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Icco, LLC

  • Urgent Care Clinic/Center
  • Springfield, OR
  • NPI 1528356953
  NPD (past)
• Icco, LLC

  • Urgent Care Clinic/Center
  • Eugene, OR
  • NPI 1902131022
  NPD (past)

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1861701377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "address_2": "C/O EUGENE URGENT CARE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401377",
            "telephone_number": "541-636-3473",
            "fax_number": "541-636-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 E 13TH AVE",
            "address_2": "C/O EUGENE URGENT CARE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014267",
            "telephone_number": "541-636-3473",
            "fax_number": "541-636-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRICH",
        "first_name": "ANDREA",
        "middle_name": "LYNETTE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "PT 3569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Elizabeth Wooden, CRM II, CADC-R
• Rose Marie Woodfin, B.S.
• Krista Woodford
• Benjamin Mowery Woodhouse, SLP
• Kelly Roy Woodke Sr., MR
• Tam Dawson Woodrum, PHD
• Taina Del Afrouz Woods Tavallai
• Brandon Lee Woods, CPHT
• Mirjum Kareene Woods
• Sarah M Woods

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.