Jeremy Jason Woodbury, PT, DPT
NPI 1700602778ActiveIndividual· Physical Therapist· Portola Valley, CA
Physical Therapist (PT, DPT) with Sand Coast Rehab Physical Therapy Inc and 1 other group, practicing in Portola Valley, California. Medicare paid $7,508 for services to 17 patients in 2024.
Overview
| NPI | 1700602778 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Nov 25, 2024 |
| Last updated in NPPES | Nov 25, 2024 |
| Certified by provider | Nov 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 307243 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 272 across 8 procedure codes |
| Paid by Medicare | $7,508 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Sand Coast Rehab Physical Therapy IncClaremont, CA · 105 clinicians
- H2orthopedic Physical Therapy IncLaguna Hills, CA · 6 clinicians
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