SANDRA LEE WOODWORTH (NPI# 1700197332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700197332 |
| Entity Type | Individual |
| Full Name | SANDRA LEE WOODWORTH |
| Credential | DPT, CSCS |
| Practice Address |
3691 Willowcreek Rd Portage IN 46368-5076 |
| Practice Telephone | 2197594380 |
| Practice Fax Number | 2197591989 |
| Mailing Telephone | 2197594380 |
| Mailing Fax Number | 2197591989 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
05009054A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3691 WILLOWCREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194999896 | Lakeshore Bone & Joint Institute, PC | Specialist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2008-04-15 |
| 1427672740 | Clark Tanner Bilbrey | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5080 | 2020-06-02 |
| 1669936498 | Krista S Nguyen | Nurse Practitioner | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2019-01-25 |
| 1518459882 | Curtis Reid Munday | Physical Therapy Assistant | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2018-06-03 |
| 1487015525 | Ernest Delgado | Physical Therapy Assistant | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2016-03-17 |
| 1871954495 | Charles Hesser | Specialist/Technologist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2016-03-09 |
| 1659730455 | Kathryn Dumortier | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-22 |
| 1699134874 | Joshua Eggleston | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-17 |
| 1710346929 | Joy Brown | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-16 |
| 1346672979 | Jared Wayne | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2013-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111243 | Your Alternative Pt, LLC | Physical Therapist | 640 Romence Rd Ste 111, Portage, MI 49024-3400 | 2018-10-30 |
| 1093761314 | Rajendra C Sharma | Physical Therapist | 5811 S Westnedge Ave, Portage, MI 49002-1456 | 2006-05-26 |
| 1295259208 | Allyson Lowis | Physical Therapist | 1908 W Milham Ave, Portage, MI 49024 | 2017-08-01 |
| 1356707343 | Brenton Rozycki | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5323 | 2016-01-07 |
| 1891163036 | Keesha Shankle | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5323 | 2015-09-04 |
| 1508269515 | Casey Bennett | Physical Therapist | 5717 Oakland Dr, Portage, MI 49024-1116 | 2014-10-03 |
| 1710003157 | Joseph Bruce Walters | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5351 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682768 | Jenette Kern | Physical Therapist | 8902 N Meridian St Ste 120, Indianapolis, IN 46260-5306 | 2019-08-01 |
| 1053977355 | Benjamin Scott England | Physical Therapist | 12912 Coldwater Rd Ste 9c, Fort Wayne, IN 46845-8870 | 2019-05-13 |
| 1982267522 | Josh James Weyer | Physical Therapist | 5925 Kingsley Dr, Indianapolis, IN 46220-2434 | 2019-04-18 |
| 1881117059 | Eric Oberst | Physical Therapist | 70 Brendon Way, Zionsville, IN 46077-1945 | 2017-07-19 |
| 1881067924 | Adam Kays | Physical Therapist | 15151 Tiki Trl, Noblesville, IN 46060-4625 | 2015-11-12 |
| 1538595806 | Jennifer Elizabeth Guillen | Physical Therapist | 12800 Missippi Parkway, Suite A101, Crown Point, IN 46307 | 2013-09-18 |
| 1902158728 | Natalie Marshall | Physical Therapist | 109 N Union St, Westfield, IN 46074-9459 | 2012-10-03 |
| 1033493622 | Jonathan Evans | Physical Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2011-10-01 |
| 1619257698 | Stacey Reith | Physical Therapist | 8150 Oaklandon Rd Ste 111, Indianapolis, IN 46236-9554 | 2011-08-23 |
| 1710201108 | Ellen Anne Schemmel | Physical Therapist | 5302 Turkey Foot Rd, Zionsville, IN 46077-8739 | 2010-03-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.