Ellen M Godwin, PT, PHD, PCS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

007223 Issued in NY

Practice address

445 Lenox Rd
Box 30
Brooklyn, NY 11203-2017

Phone

(718) 270-2811

NPI assigned

May 24, 2007

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)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Suny Downstate Med Center

  • Rehabilitation Hospital
  • Brooklyn, NY
  • NPI 1528275591
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104037910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 96TH ST",
            "address_2": "APT 1-A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097852",
            "telephone_number": "718-745-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "address_2": "BOX 30",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-270-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "PT, PHD, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "007223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman R Godoy Salgado
• Catherine Godoy
• Michelle Godoy
• Wigbert Saul Godoy, M.D
• Amy Catherine Godwin, OTR/L
• Janet Godwin, M.S.ED.
• Delgira Godzhaeva
• Courtney Goeb
• Sara Goebel, MSED
• Scott Jonathan Goeckeritz, PA

• Pediatric Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Physical Therapist in New York

• 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.

Verify at the official NPI Registry.