Individual provider Active NPI

Chad Gooding, P.T.

  • Physical Therapist
  • Massillon, OH
National Provider Identifier
1013979038
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009332 Issued in OH
Practice address
3244 Bailey St NW
Massillon, OH 44646-3616
Phone
(330) 833-3110
Fax
(330) 833-3115
NPI assigned
Apr 5, 2006
Last updated
Apr 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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 PT009332 OH Primary

Addresses

Primary practice location

3244 Bailey St NW
Massillon, OH 44646-3616

Mailing address

3244 Bailey St NW
Massillon, OH 44646-3616
Phone (330) 833-3110

Other identifiers 1

IdentifierTypeStateIssuer
CM0529OtherOHMEDICARE ID TYPE UNSPEC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT009332OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fernandez Renner & Scai Past Accepting new patients
Fernandez Renner and Scaia Physical Therapy Clinic Inc Past Accepting new patients
Fernandez Renner & Scai Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1013979038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 BAILEY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463616",
            "telephone_number": "330-833-3110",
            "fax_number": "330-833-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 BAILEY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463616",
            "telephone_number": "330-833-3110",
            "fax_number": "330-833-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT009332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPEC",
            "identifier": "CM0529",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.