CMS-1500 Box 24J / 33a • NPI
1023591963
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225200000X
Licensed & Credentialed Physical Therapy Assistant
Box 32 Service Location & ZIP+4
2320 LAKE SHORE DR, WACO, TX, 76708-1276
✓ 9-Digit EDI 837 ZIP+4 (76708-1276)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1023591963 (DEMI BROOKE WOOD, PTA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1023591963 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DEMI BROOKE WOOD, PTA |
| Plain-English Specialty | Licensed & Credentialed Physical Therapy Assistant NUCC Code: 225200000X (Physical Therapy Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2320 LAKE SHORE DR, WACO, TX, 76708-1276 |
| Practice Telephone / Fax | Tel: (254) 752-1075 |
| Administrative Mailing Address | 407 HICKORY AVE, HUBBARD, TX, 76648-2223 |
| Enumeration & Last Sync | Enumerated: 2018-09-06 | CMS Record Updated: 2018-09-06 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (225200000X)
What Does Taxonomy Code 225200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225200000X translates to:
"Licensed & Credentialed Physical Therapy Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DEMI BROOKE WOOD, PTA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225200000X — Physical Therapy AssistantPlain English: Licensed & Credentialed Physical Therapy Assistant | State: TX | License: 2130621 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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