Organization Active NPI

Joanne a. Goluch, Inc.

  • Physical Therapist
  • Eureka Springs, AR
National Provider Identifier
1073788402
Registry record updated Apr 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2620 Issued in AR
Legal business name
JOANNE A. GOLUCH, INC.
Practice address
266 County Road 3027
Eureka Springs, AR 72632-9721
Phone
(479) 253-1815
Fax
(479) 363-0000
NPI assigned
Apr 27, 2008
Last updated
Apr 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2008

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

Authorized official

Name
Ms. Joanne A. Goluch, PTNPI 1710100730
Title
Physical Therapist/President
Phone
(479) 253-1815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 2620 AR Primary

Addresses

Primary practice location

266 County Road 3027
Eureka Springs, AR 72632-9721

Mailing address

266 County Road 3027
Eureka Springs, AR 72632-9721
Phone (479) 253-1815

Other identifiers 1

IdentifierTypeStateIssuer
167039742MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209254400000",
    "number": "1073788402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 COUNTY ROAD 3027",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329721",
            "telephone_number": "479-253-1815",
            "fax_number": "479-363-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 COUNTY ROAD 3027",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329721",
            "telephone_number": "479-253-1815",
            "fax_number": "479-363-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE A. GOLUCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-27",
        "last_updated": "2008-04-27",
        "status": "A",
        "authorized_official_last_name": "GOLUCH",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "479-253-1815",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167039742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2008; 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.