Jay Drew Goodman, PT, SCS

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

P5645 Issued in NC

Practice address

1603 Hillsborough St
1603 Hillsborough Street
Raleigh, NC 27605-1638

Phone

(919) 350-3800

Fax

(919) 838-5379

NPI assigned

Oct 7, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1023568680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 HILLSBOROUGH ST",
            "address_2": "WAKEMED AT ALEXANDER YMCA",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051638",
            "telephone_number": "919-350-3800",
            "fax_number": "919-838-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 HILLSBOROUGH ST",
            "address_2": "1603 HILLSBOROUGH STREET",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051638",
            "telephone_number": "919-350-3800",
            "fax_number": "919-838-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JAY",
        "middle_name": "DREW",
        "name_prefix": "Mr.",
        "credential": "PT, SCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P5645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ellen Gooding, M.A.
• Zane Stephen Gooding, D.O.
• Laura Goodling, PT
• Carla Goodman
• David Goodman, P.A.-C.
• Kamarie N Goodman
• Kelly Goodman
• Mary Lether Goodman
• Peter Bertram Goodman, LCSW, MSW
• Anna B Goodmon, M.D.

• Physical Medicine & Rehabilitation Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.