Joseph John Godges, D.P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT 12430 Issued in CA

Practice address

15200 W Sunset Blvd
Suite 111
Pacific Palisades, CA 90272-3619

Phone

(310) 573-9340

Fax

(310) 573-9328

NPI assigned

Mar 2, 2007

Last updated

Feb 7, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rancho Physical Therapy, Inc.

  dba OptimisSport PT

  • Physical Therapist
  • Pacific Palisades, CA
  • NPI 1417242454

  Orthopedic

  NPD (past)
• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Temecula, CA
  • NPI 1679541320
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1083742613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 MOUNT CALVARY RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052355",
            "telephone_number": "310-365-6470",
            "fax_number": "866-644-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 W SUNSET BLVD",
            "address_2": "SUITE 111",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723619",
            "telephone_number": "310-573-9340",
            "fax_number": "310-573-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODGES",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 12430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "0PT124300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hooshang Ghaffari, DENTIST
• Marilyn Ginsburg, MFT
• Leslie Kathleen Giraldo, P.T.
• Theodore Glaessner, M.D.
• Gracia Margaret Goade, M.D.
• Margaret J. Jane Goldenhersh, M.D.
• Ronna Goore, MS, CCC-SLP
• Alexander Scranton Gordon I, LMFT
• Carol Ann Gordon, BSC OT
• Lynn Goren, PHD.

• Orthopedic Physical Therapist in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.