Active NPI
Taylor Woody
- Physical Medicine & Rehabilitation Physician
- Odenton, MD
National Provider Identifier
1912869736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 30712
- Practice address
- 1110 Town Center Blvd Ste I
Odenton, MD 21113-1232 - Phone
- (410) 672-8094
- NPI assigned
- Dec 1, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 30712 | MD | Primary |
Addresses
Primary practice location
1110 Town Center Blvd Ste I
Odenton, MD 21113-1232
Mailing address
1110 Town Center Blvd Ste I
Odenton, MD 21113-1232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30712 | MD | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1912869736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 TOWN CENTER BLVD STE I",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 TOWN CENTER BLVD STE I",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131232",
"telephone_number": "410-672-8094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "30712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.