Active NPI
Rebecca Skelton Goodell, PT
- Specialist
- Sedro Woolley, WA
National Provider Identifier
1023210333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT00002555
- Practice address
- 780 Cook Rd
Sedro Woolley, WA 98284-4341 - Phone
- (360) 855-3872
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT00002555 | WA | Primary |
Addresses
Primary practice location
780 Cook Rd
Sedro Woolley, WA 98284-4341
Mailing address
7630 Parker Rd
Sedro Woolley, WA 98284-7785
Phone (360) 856-2539
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT00002555 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023210333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7630 PARKER RD",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982847785",
"telephone_number": "360-856-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 COOK RD",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982844341",
"telephone_number": "360-855-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODELL",
"first_name": "REBECCA",
"middle_name": "SKELTON",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "PT00002555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedro Woolley, WA
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.