Goat Physical Therapy and Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GOAT PHYSICAL THERAPY AND WELLNESS LLC

Practice address

132 Cross Rd
Waterford, CT 06385-1204

Phone

(860) 572-6657

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Colleen Davis, DPTNPI 1770149353

Title

Owner

Phone

(860) 460-0909

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: colleen@goatpt.com

Practitioners 6

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

• Colleen Davis

  • Physical Therapist
  • Waterford, CT
  • NPI 1770149353
  Medicare reassignment Care Compare group NPD Authorized official
• Benjamin Choi, DPT

  • Physical Therapist
  • Gales Fery, CT
  • NPI 1366215782
  Medicare reassignment Care Compare group NPD
• Amy T Mooradian, DPT

  • Physical Therapist
  • Gales Ferry, CT
  • NPI 1568458644
  Medicare reassignment Care Compare group NPD
• Pauline Wyatt, PT

  • Physical Therapist
  • Waterford, CT
  • NPI 1205981404
  Medicare reassignment Care Compare group NPD
• Alison Colussi

  • Physical Therapist
  • Newton, MA
  • NPI 1255732186

  CT

  Medicare reassignment Care Compare group NPD
• Elizabeth Veilleux, DPT

  • Physical Therapist
  • West Hartford, CT
  • NPI 1417612482
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1043828510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RAMBLEWOOD DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351640",
            "telephone_number": "860-460-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CROSS RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851204",
            "telephone_number": "860-572-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAT PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-460-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Colleen@goatpt.com",
            "affiliation": "N",
            "endpointDescription": "owners email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "132 Cross Rd",
            "city": "Waterford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063851204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosemary E Gentile, RD
• Zachary William Gerber
• Michelle Ghislandi
• Nathaniel Gilman, PHARM.D.
• Valerie Peyton Gilson, COTA/L
• Aditi H Gohil, LPC
• David Golden, MD
• John M Gonzalez, PH.D.
• Mithlesh Govil, M.D.
• Rosemary Grace

• Physical Therapy Clinic/Center in Waterford, CT
• Providers in Waterford, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.