Individual provider Active NPI

Enis Quardell Woods, DPT

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1871655043
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008228 Issued in GA
Practice address
10955 Jones Bridge Rd
Suite 131
Alpharetta, GA 30022-8109
Phone
(770) 817-0197
Fax
(770) 817-0204
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008228 GA Primary

Addresses

Primary practice location

10955 Jones Bridge Rd
Suite 131
Alpharetta, GA 30022-8109

Mailing address

10955 Jones Bridge Rd
Suite 131
Alpharetta, GA 30022-8109
Phone (770) 817-0197

Other identifiers 2

IdentifierTypeStateIssuer
2279844OtherGAFIRST HEALTH
9329177OtherGAPHCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000511 GA Practitioner - Physical Therapist in Private Practice 8022909563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008228GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC Current Accepting new patients
Emory Physical Therapy, LLC CurrentSince Apr 9, 2021 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Apr 9, 2021 Accepting new patients
Visions Physical Therapy Physical Therapist Past Accepting new patients
Alpha Sports and Physical Therapy Physical Therapist PastSince Jan 16, 2005 Accepting new patients
Visions Physical Therapy Physical Therapist Past Accepting new patients

Locations

59 Executive Park South NE
Ste 1100
Atlanta, GA 30329
Phone (404) 778-6330

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871655043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10955 JONES BRIDGE RD",
            "address_2": "SUITE 131",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228109",
            "telephone_number": "770-817-0197",
            "fax_number": "770-817-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10955 JONES BRIDGE RD",
            "address_2": "SUITE 131",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228109",
            "telephone_number": "770-817-0197",
            "fax_number": "770-817-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ENIS",
        "middle_name": "QUARDELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "008228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2279844",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9329177",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.