Maggie Goedeke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2795 Issued in AK

Practice address

4141 Pennock St
Homer, AK 99603-7223

Phone

(620) 778-2443

NPI assigned

Jul 8, 2014

Last updated

Aug 20, 2014By the provider in NPPES

Sex

Female

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)

Enrolled

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.

• Borealis Chiropractic Inc

  • Chiropractor
  • Soldotna, AK
  • NPI 1558800607
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1093121352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 PENNOCK ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037223",
            "telephone_number": "620-778-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 PENNOCK ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037223",
            "telephone_number": "620-778-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDEKE",
        "first_name": "MAGGIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Gherman
• Kimberly Glaspell
• Sandra Lee Glidden
• Global Sleep Solutions, LLC
• Jennifer Godbold, DNP, CNM
• Sharon Marie Gorman, ANP
• Vincent Pridemore Greear, RPH
• Laura Greet, CNM
• Tyler Emory Haas, MD
• Rona Sue Haberman, LCSW

• Physical Therapist in Homer, AK
• Providers in Homer, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.