Nicholas S Goettel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1928 Star Batt Dr Ste a
Rochester Hills, MI 48309-3722

Phone

(248) 289-1168

NPI assigned

Jan 18, 2021

Last updated

Dec 9, 2022By the provider in NPPES

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clint Verran Sports Medicine, IncGroup PAC ID 2264471895, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicholas.goettel.p4@direct.athleticoltd.nextgenshare.com

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.

• Clint Verran Sports Medicine, Inc

  • Physical Therapist
  • Lake Orion, MI
  • NPI 1013033604
  Medicare reassignment Care Compare group NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  NPD

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1023607678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 STAR BATT DR STE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093722",
            "telephone_number": "248-289-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 STAR BATT DR STE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093722",
            "telephone_number": "248-289-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTEL",
        "first_name": "NICHOLAS",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gleason Psychological Services Inc
• Carrie Gleason, L.P.
• Amanda Palmira Glorio, M.A., BCBA, LBA
• Robert O Go, MD
• Austin Goddard, DPT
• Lisa Goldberg, DDS
• Rosalyn S Goldberg, MA, LLP
• Theodore Alfred Paul Golden, M.D.
• Sarah Margaret Cardy Goncalves, PT, DPT
• Osvaldo Israel Gonzalez Osorio

• Physical Therapist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.