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ROBERT C WOODBURY DO
NPI 1750354627
Neuromusculoskeletal Medicine & OMM in Lake Forest Park, WA

Active since February 09, 2006Opted out of Medicare · through Apr 1, 2027
17191 BOTHELL WAY NE, SUITE 205, LAKE FOREST PARK, WA 98155(206) 364-8272(206) 364-5418 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert C Woodbury Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT C WOODBURY DO (NPI 1750354627) is an individual neuromusculoskeletal medicine & omm provider in Lake Forest Park, Washington, licensed in Washington (OP00001880) and active in the NPI registry since February 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750354627
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameROBERT C WOODBURYCredential: DO
Location Address17191 BOTHELL WAY NE, SUITE 205Lake Forest Park, WA 98155-5534
Mailing Address17191 Bothell Way Ne, Suite 205Lake Forest Park, WA 98155-5534 · (206) 364-8272 · Fax (206) 364-5418
Phone(206) 364-8272
Fax(206) 364-5418
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 13, 2008
✔ NPI 1750354627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in WA · OP00001880
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
17191 BOTHELL WAY NE, Lake Forest Park, WA 98155
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Other Identifiers 4

Medicare UPINF08291
OtherP00283394WA · Railroad Medicare
Medicaid8450397WA
Medicare PINGAB25977WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Robert C Woodbury Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHARLES FREDRICK EBSWORTH D.D.S.
Dentist (General Practice)
17191 BOTHELL WAY NE, SUITE 201
LAKE FOREST PARK, WA 98155
King County (206) 362-0152
KAREN LYNNE MILLER MD
Internal Medicine
17191 BOTHELL WAY NE, SUITE 205
LAKE FOREST PARK, WA 98155
King County (206) 364-8272
FRED EBSWORTH DDS PS
Clinic/Center (Dental)
17191 BOTHELL WAY NE, SUITE 201
LAKE FOREST PARK, WA 98155
King County (206) 362-0152
LESLIE S NEWTON MD
Family Medicine
17191 BOTHELL WAY NE, STE 205
LAKE FOREST PARK, WA 98155
King County (206) 364-8272
ROBYN PHILLIPS-MADSON DO
Family Medicine
17191 BOTHELL WAY NE, STE 205
LAKE FOREST PARK, WA 98155
King County (206) 364-8272
MS. REBECCA LYNN OLSON ARNP
Nurse Practitioner (Family)
17191 BOTHELL WAY NE, SUITE 205
LAKE FOREST PARK, WA 98155
King County (206) 364-8272
X-CEL ENTERPRISES, INC.
Clinic/Center (Physical Therapy)
17191 BOTHELL WAY NE, SUITE B203
LAKE FOREST PARK, WA 98155
King County (206) 367-6069
MS. EMILY PEARSON EASLEY ARNP
Nurse Practitioner (Family)
17191 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
King County (206) 364-8272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Woodbury's NPI number?

The NPI number for Robert Woodbury is 1750354627. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Robert Woodbury located?

Robert Woodbury practices at 17191 Bothell Way NE Suite 205, Lake Forest Park, WA 98155. The listed phone number is (206) 364-8272.

What is Robert Woodbury's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Robert Woodbury enrolled in Medicare?

No. Robert Woodbury has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Robert Woodbury was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.