Active NPI
Kiefer Gooch, PT, DPT, SCS, MSATC
- Physical Therapist
- Dover, DE
National Provider Identifier
1104215177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003263
- Practice address
- 1695 S State St # a
Dover, DE 19901-5148 - Phone
- (302) 552-1120
- Fax
- (302) 552-1121
- NPI assigned
- Jan 14, 2015
- Last updated
- Jan 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0003263 | DE | Primary |
Addresses
Primary practice location
1695 S State St # a
Dover, DE 19901-5148
Mailing address
1695 S State St # a
Dover, DE 19901-5148
Phone (302) 552-1120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1695 S State St
A
Dover, DE 19901-5148
Phone (302) 542-8151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Local Solutions LLC | Physical Therapist | Current | Accepting new patients |
Locations
1695 S State St
#A
Dover, DE 19901
Phone (302) 542-8151
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1104215177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 S STATE ST # A",
"city": "DOVER",
"state": "DE",
"postal_code": "199015148",
"telephone_number": "302-552-1120",
"fax_number": "302-552-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 S STATE ST # A",
"city": "DOVER",
"state": "DE",
"postal_code": "199015148",
"telephone_number": "302-552-1120",
"fax_number": "302-552-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOCH",
"first_name": "KIEFER",
"credential": "PT, DPT, SCS, MSATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-14",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.