Kerry Lee Goral Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6265 Issued in NV

Practice address

2651 Paseo Verde Pkwy Ste 170
Henderson, NV 89074-6616

Phone

(702) 312-4878

NPI assigned

Sep 26, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dignity Select Nevada LLCGroup PAC ID 0941541155, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dignity Select Nevada LLC

  • Physical Therapy Clinic/Center
  • Henderson, NV
  • NPI 1710446281

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dignity Select Nevada, LLC

  • Rehabilitation Clinic/Center
  • Las Vegas, NV
  • NPI 1073120838
  NPD
• Dignity Select Nevada, LLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1821962572
  NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696636800000",
    "number": "1013796234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ALPER CENTER DR UNIT 28305",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890521554",
            "telephone_number": "714-244-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 PASEO VERDE PKWY STE 170",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746616",
            "telephone_number": "702-312-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORAL",
        "first_name": "KERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodwin Elite Orthobiologics and Wellness PLLC
• Joshua James Goodwin, MD
• Julia Marie Goodwin, PT, DPT
• Shmela Goodwin
• Yevone Cheiree Goodwin
• Reesa Stephanie Goravanchi, M.D.
• Purificacion Gorby
• Jacqueline Ann Gordon
• Loida Gordon
• Nicole Gordon

• Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.