Iron Oak Physical Therapy and Performance LLC Kyle Goodwin Sole MBR

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IRON OAK PHYSICAL THERAPY AND PERFORMANCE LLC KYLE GOODWIN SOLE MBR

Practice address

624 Innovation Dr Ste 105
Chesapeake, VA 23320-3867

Phone

(443) 366-4757

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Kyle Goodwin, PT, DPTNPI 1629612429

Title

Owner

Phone

(443) 366-4757

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Goodwin, DPT

  • Physical Therapist
  • Pasadena, MD
  • NPI 1629612429
  NPD Authorized official

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1043031933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 SECRETARIAT DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351786",
            "telephone_number": "443-366-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 INNOVATION DR STE 105",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203867",
            "telephone_number": "443-366-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON OAK PHYSICAL THERAPY AND PERFORMANCE LLC KYLE GOODWIN SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-366-4757",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tamika Irby
• Michael G Ireland, D.D.S.
• Jessie Anne Irvin
• Tatiana Marie Irvine, PHARMD
• Monica Irving, OT
• Patricia Irving
• Laurie Susan Irwin-Pinkley, N.P.

• Physical Therapy Clinic/Center in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.