Individual provider Active NPI

Erica D Gould, PT

  • Physical Therapist
  • Fort Pierce, FL
National Provider Identifier
1003835125
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26145 Issued in CA
Practice address
2959 W Midway Rd
Fort Pierce, FL 34981-4956
Phone
(772) 342-4490
Fax
(772) 340-6506
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 PT26145 CA Primary

Addresses

Primary practice location

2959 W Midway Rd
Fort Pierce, FL 34981-4956

Mailing address

5984 NW Baynard Dr
Port St Lucie, FL 34986-3610
Phone (772) 342-4490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091214000189 FL Practitioner - Physical Therapist in Private Practice 1557271269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT26145CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to You Physical Therapy LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Bonnie Cardenas & Associates Physical Therapy Physical Therapist Past Accepting new patients
Vitality Healthcare Medical Corp Physical Therapist Past Accepting new patients
Body Synergy Physical Therapy, Inc. Physical Therapist PastSince Aug 7, 2022 Accepting new patients

Locations

4152 Okeechobee Rd
Ste Ac
Fort Pierce, FL 34947
Phone (772) 271-4200

3002 SW Port St Lucie Blvd
Port St Lucie, FL 34953
Phone (772) 271-4200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1003835125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5984 NW BAYNARD DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863610",
            "telephone_number": "772-342-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 W MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814956",
            "telephone_number": "772-342-4490",
            "fax_number": "772-340-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ERICA",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.