Individual provider Active NPI

William Robert Forrest Woodward, DPT, PT

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1891513776
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306869 Issued in CA
Practice address
6695 E Pacific Coast Hwy Ste 100
Long Beach, CA 90803-4256
Phone
(562) 596-7074
NPI assigned
Sep 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 306869 CA Primary

Addresses

Primary practice location

6695 E Pacific Coast Hwy Ste 100
Long Beach, CA 90803-4256

Mailing address

361 Peralta Ave
Long Beach, CA 90803-2217
Phone (562) 343-6782

Other names 1

  • Will Robert Forrest Woodward Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017001892 CA Practitioner - Physical Therapist in Private Practice 5395277149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Drexel University College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Works Physical Therapy IncGroup PAC ID 9537198049, 6 clinicians

Practice addresses (Care Compare)

6451 E Pacific Coast Hwy
Suite C7
Long Beach, CA 90803-4253
Phone (562) 596-7074

6695 E Pacific Coast Hwy
Suite 100
Long Beach, CA 90803-4256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306869CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Works Physical Therapy Inc Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients

Locations

6695 E Pacific Coast Hwy
Ste 100
Long Beach, CA 90803
Phone (562) 596-7074

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.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1891513776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 PERALTA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032217",
            "telephone_number": "562-343-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 E PACIFIC COAST HWY STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034256",
            "telephone_number": "562-596-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT FORREST",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILL",
            "last_name": "WOODWARD",
            "middle_name": "ROBERT FORREST",
            "credential": "DPT, PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.