Brandon Goesch

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15091-24 Issued in WI

Practice address

W173N10915 Bernies Way
Germantown, WI 53022-4043

Phone

(262) 509-3300

NPI assigned

Nov 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1083217194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N102W17723 STONERIDGE DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224866",
            "telephone_number": "414-477-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W173N10915 BERNIES WAY",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224043",
            "telephone_number": "262-509-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 W Honadel Blvd",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531542650",
            "country_code": "US",
            "telephone_number": "414-435-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOESCH",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15091-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germantown School District
• Marc A Gilerovich, DC
• Robert Giudice, PT
• Chandler Gloudeman
• Laura L Goba, APSW
• Timothy F Goggins, M.D.
• Patricia Ann Gottsacker, P.T., C.PED.
• Great Lakes Dental, LLC
• Great Lakes Healthcare, Inc. (Preceptor Therapy)
• Great Lakes Healthcare, Inc. (Preceptor Home Health)

• Physical Therapist in Germantown, WI
• Providers in Germantown, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.