Stephanie Goddard, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTA09558 Issued in OH

Practice address

323 E Town St
Columbus, OH 43215-4767

Phone

(614) 788-5190

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Packard Other name

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1104306646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 PARKWICK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432286469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154767",
            "telephone_number": "614-788-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "STEPHANIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PTA09558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PACKARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Praveen S Goday, MD
• Sonia Godbole, MD
• Summer Lee Godbolt
• Madeline Goddard
• Sarah Elizabeth Goddard
• Lawson Godfrey Jr.
• Breanna Godfrey, PT, DPT
• Dana Marie Godfrey, RN, BSN, LSN
• Kevon Godfrey
• Cynthia Godlove

• Physical Medicine & Rehabilitation Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.