Individual provider Active NPI

Kahari Tamon Wood, MSPT

  • Physical Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1952333502
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21707 Issued in FL
Practice address
2531 SW Fondura Rd
Port Saint Lucie, FL 34953-2773
Phone
(772) 348-4272
Fax
(772) 348-4612
NPI assigned
Jul 6, 2006
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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 PT21707 FL Primary

Addresses

Primary practice location

2531 SW Fondura Rd
Port Saint Lucie, FL 34953-2773

Mailing address

2531 SW Fondura Rd
Port Saint Lucie, FL 34953-2773
Phone (772) 348-4272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229002993 FL Practitioner - Physical Therapist in Private Practice 5294030268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9401 SW Discovery Way
Suite 201
Port St Lucie, FL 34987-2381
Phone (772) 288-2400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21707FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Solutions, LLC CurrentSince Sep 1, 2015 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Sep 4, 2021 Accepting new patients
South Florida Orthopaedics & Sports Medicine, PA CurrentSince May 13, 2019 Accepting new patients
South Florida Orthopaedics & Sports Medicine, PA CurrentSince May 13, 2019 Accepting new patients
South Florida Orthopaedics & Sports Medicine,PA PastSince Sep 15, 2019 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

9401 SW Discovery Way
Ste 201
Port St Lucie, FL 34987

1050 SE Monterey Rd
Ste 400
Stuart, FL 34994

Interoperability endpoints

  • Direct secure messaging: kahari.woodmpt.p1@direct.southflaortho.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1952333502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 SW FONDURA RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532773",
            "telephone_number": "772-348-4272",
            "fax_number": "772-348-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 SW FONDURA RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532773",
            "telephone_number": "772-348-4272",
            "fax_number": "772-348-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KAHARI",
        "middle_name": "TAMON",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.