Individual provider Active NPI

Lisa Hope Goodfriend, MPT, CWS, FCCWS

  • Clinical Electrophysiology Physical Therapist
  • Wilmington, DE
National Provider Identifier
1003941592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
J1-0002084 Issued in DE
Practice address
7TH and Clayton Streets
St. Frances Wound Care Center, Suite 601 MSB
Wilmington, DE 19805
Phone
(302) 575-8180
Fax
(302) 575-8185
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X 19268 MD
Clinical Electrophysiology Physical Therapist 2251E1300X J1-0002084 DE Primary

Addresses

Primary practice location

7TH and Clayton Streets
St. Frances Wound Care Center, Suite 601 MSB
Wilmington, DE 19805

Mailing address

15 Bridle Path
Wilmington, DE 19808-2740
Phone (410) 707-9891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002084DEMDClinical Electrophysiology Physical Therapist
19268MDMDClinical Electrophysiology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003941592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRIDLE PATH",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082740",
            "telephone_number": "410-707-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7TH AND CLAYTON STREETS",
            "address_2": "ST. FRANCES WOUND CARE CENTER, SUITE 601 MSB",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-575-8180",
            "fax_number": "302-575-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODFRIEND",
        "first_name": "LISA",
        "middle_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "MPT, CWS, FCCWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "MD",
            "license": "19268",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "DE",
            "license": "J1-0002084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.