Elizabeth Woolaver, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

03237 Issued in OH

Practice address

1620 Timber Wolf Dr
Holland, OH 43528-8303

Phone

(419) 868-7378

Fax

(419) 868-7390

NPI assigned

Mar 2, 2007

Last updated

May 26, 2015By the provider in NPPES

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

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restorative Concepts LLC

  dba Restorative Concepts Physical Therapy

  • Physical Therapist
  • Holland, OH
  • NPI 1235267832
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1942338553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 TIMBER WOLF DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288303",
            "telephone_number": "419-868-7378",
            "fax_number": "419-868-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TIMBER WOLF DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288303",
            "telephone_number": "419-868-7378",
            "fax_number": "419-868-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLAVER",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "03237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PROVIDERS",
            "identifier": "0160617164",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC #",
            "identifier": "34191273800",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT WC #",
            "identifier": "373805127-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMOH #",
            "identifier": "373805127-002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER NPI",
            "identifier": "1942200704",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PRACTICE #",
            "identifier": "3419127380A00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Theresa Wronker, LPN
• Lakeeta Young
• Z Med, LLC

• Physical Therapy Assistant in Holland, OH
• Providers in Holland, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.