Theresa Woodlock

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

PO Box 25742
Santa Ana, CA 92799-5742

Phone

(401) 636-3219

NPI assigned

Nov 12, 2024

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1942024369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25742",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927995742",
            "telephone_number": "401-636-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 25742",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927995742",
            "telephone_number": "401-636-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2714 S Shelton St Apt A",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "927073359",
            "country_code": "US",
            "telephone_number": "401-636-3219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Old County Rd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029172903",
            "country_code": "US",
            "telephone_number": "401-636-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODLOCK",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Woo
• Grace Woo, DO
• Ana Leticia Wood, R.N., P.H.N.
• Mariko Wood
• Rachel Lynn Wood
• Aaron Woods
• Ahmad Woods
• Bobby Woods
• Emily Caroline Woody, LCSW
• Elijah David Wooldridge

• Athletic Trainer in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.