Jessica Goodpaster, MSPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

05009171A Issued in IN

Practice address

8325 E Southport Rd
Indianapolis, IN 46259-6833

Phone

(317) 528-6406

NPI assigned

Apr 14, 2020

Last updated

Nov 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Major Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657

  Geriatrics

  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1033738661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 SUNSET RIDGE PKWY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462597770",
            "telephone_number": "301-412-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 E SOUTHPORT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462596833",
            "telephone_number": "317-528-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODPASTER",
        "first_name": "JESSICA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IN",
            "license": "05009171A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MAJOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Leigh Goodman, M.D.
• Shawnteja Goodman, RBT
• Tiffany Marie Goodman, AGPCNP-BC
• Naisha Goodner
• Deja' Chirlvone Goodnight
• Beth Goodrich, LMFT
• Lachrisa Goodrich
• Sarah Goodrich, MD
• Suzanne P Goodrich, MD
• Katherine Wallace Goodwell, M.S., CCC-SLP

• Geriatric Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Geriatric Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.