Susan Lupidi Wood, PT, DPT, CERT. MDT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

12136 Issued in TN

Practice address

108 Providence TRL Ste 102
Mt Juliet, TN 37122-6386

Phone

(615) 553-9761

NPI assigned

Feb 21, 2019

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1861959215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 BLOOMFIELD WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274766",
            "telephone_number": "859-333-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PROVIDENCE TRL STE 102",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371226386",
            "telephone_number": "615-553-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SUSAN",
        "middle_name": "LUPIDI",
        "credential": "PT, DPT, CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "12136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Shane Witherow, DDS, MS
• Christi A Witherspoon, M.D.
• Kevin M Wolf, ATC
• Brandy Wood
• Neil Alan Wood, PHARM.D.
• Mary-Ruth Woolridge
• Avery Word
• Erica Work
• Makayla Wright
• Maelee Katherine Yang, M.D.

• Orthopedic Physical Therapist in Mt Juliet, TN
• Providers in Mt Juliet, TN by specialty
• Orthopedic Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.