Matthew T Goodemote, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0171611 Issued in NY

Practice address

3 Maple Dell
Saratoga Springs, NY 12866-2951

Phone

(518) 306-6894

Fax

(518) 450-1580

NPI assigned

Aug 1, 2006

Last updated

Jul 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Goodemote Physical Therapy PLLC

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1407122435
  Authorized official Same address or phone
• Capital Area Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Malta, NY
  • NPI 1477995330
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1053328468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAPLE DELL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662951",
            "telephone_number": "518-306-6894",
            "fax_number": "518-450-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAPLE DELL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662951",
            "telephone_number": "518-306-6894",
            "fax_number": "518-450-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEMOTE",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0171611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP  GROUP# K0",
            "identifier": "10076606",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "EMPIRE ST Q09S11",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTCARE",
            "identifier": "6400651",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02441963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "710206",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY  COMRIE AVE",
            "identifier": "BSNENY 000922986006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY EAST STATE ST",
            "identifier": "BSNENY 000922986005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard J Goldstein, OD
• Emily Kay Goldup, MSED
• Melissa Golub, LCSW
• Iris E Gonzalo-Sowle, MS,RN-BC,FNP-BC,ONC
• Goodemote Physical Therapy PLLC
• Shelley Lynn Gordon, LCSW-R
• Alana Marie Gorman, PT
• Shannon Gould, PSY.D.
• Elizabeth Charlene Graham, NP
• Sarah S Grant

• Physical Therapist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.