Active NPI
Mark E Goode, PT
- Physical Therapist
- Wheeling, WV
National Provider Identifier
1063575751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 383
- Practice address
- Wheeling Hospital Inc
1 Medical Park
Wheeling, WV 26003 - Phone
- (304) 243-3124
- Fax
- (304) 243-6343
- NPI assigned
- Dec 18, 2006
- 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 | 383 | WV | Primary |
Addresses
Primary practice location
Wheeling Hospital Inc
1 Medical Park
Wheeling, WV 26003
Mailing address
210 White Bell Circle Drive
Wellsburg, WV 26070
Phone (304) 737-0984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6206 | Other | OH | OHIO LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063575751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WHITE BELL CIRCLE DRIVE",
"city": "WELLSBURG",
"state": "WV",
"postal_code": "26070",
"telephone_number": "304-737-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WHEELING HOSPITAL INC",
"address_2": "1 MEDICAL PARK",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-243-3124",
"fax_number": "304-243-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "MARK",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO LICENSE",
"identifier": "6206",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.