Active NPI
Matthew Goecke, DPT
- Physical Therapist
- Mustang, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6016
- Practice address
- 153 E State Highway 152
Mustang, OK 73064-4406 - Phone
- (405) 376-3535
- Fax
- (580) 376-3583
- NPI assigned
- May 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6016 | OK | Primary |
Addresses
Primary practice location
153 E State Highway 152
Mustang, OK 73064-4406
Mailing address
800 NW 6TH St
Oklahoma City, OK 73106-7241
Phone (405) 609-3667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12301 S Western Ave
A3 Athletico Physical Therapy
Oklahoma City, OK 73170-6085
Phone (405) 200-1869
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6016 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valir Hospice Care, LLC | Current | Accepting new patients | |
| Community Hospital LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Community Hospital LLC | Current | Accepting new patients | |
| H2 Health Oklahoma Outpatient Clinics LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Valir Outpatient Clinic #10 LLC | Physical Therapist | Past | Accepting new patients |
| Valir Outpatient Clinics LLC | Physical Therapist | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
941 W I 35 Frontage Rd
Ste 132
Edmond, OK 73034
Phone (405) 227-9667
8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112
153 E State Highway 152
Mustang, OK 73064
Phone (405) 376-3535
153 E State Highway 152
#10
Mustang, OK 73064
Phone (405) 376-3535
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
800 NW 6th St
Oklahoma City, OK 73106
Phone (405) 609-3636
12301 S Western Ave
Ste A3
Oklahoma City, OK 73170
Phone (405) 200-1869
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1275593337
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1982683306
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1730366832
-
- Community Based Hospice Care Agency
- Oklahoma City, OK
- NPI 1871685503
-
- Physical Therapist
- Mustang, OK
- NPI 1427583467
-
- Physical Therapist
- Shawnee, OK
- NPI 1245765536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1043885353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 NW 6TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731067241",
"telephone_number": "405-609-3667",
"fax_number": "405-609-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 E STATE HIGHWAY 152",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730644406",
"telephone_number": "405-376-3535",
"fax_number": "580-376-3583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOECKE",
"first_name": "MATTHEW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-20",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mustang, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.