NPIMap

Organization Active NPI

US Army

  • Physical Therapy Clinic/Center
  • Fort Drum, NY
National Provider Identifier
1861899536
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTL0012834 Issued in CO
Legal business name
US ARMY
Practice address
8800 Main St
Apt 408C
Fort Drum, NY 13603-2159
Phone
(719) 649-3947
NPI assigned
Nov 24, 2014
Last updated
Nov 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Lisa Woolridge, DPT
Title
Physical Therapist
Phone
(719) 649-3947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTL0012834 CO Primary

Addresses

Primary practice location

8800 Main St
Apt 408C
Fort Drum, NY 13603-2159

Mailing address

8800 Main St
Apt 408C
Fort Drum, NY 13603-2159

National Provider Directory

National Provider Directory
Tax ID family
US Army42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1861899536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 MAIN ST",
            "address_2": "APT 408C",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136032159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 MAIN ST",
            "address_2": "APT 408C",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136032159",
            "telephone_number": "719-649-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "WOOLRIDGE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "719-649-3947",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "PTL0012834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Drum, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.