Andrew J Goetz, PT
Individual provider Active NPI Physical Therapist · Clinton, WA
NPI 1104837582 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1104837582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT0003656 (WA)
- Practice address
- 11042 State Route 525 Ste 134
Clinton, WA 98236-8618 - Phone
- (360) 341-1299
- Fax
- (360) 341-1277
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11042 State Route 525
Suite 134
Clinton, WA 98236-8618
Phone (360) 341-1299
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120503000564 | WA | Practitioner - Physical Therapist in Private Practice | 1557252848 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0003656 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Whidbey Physical Therapy and Sports Clinic Inc | Current |
Accepting new patients | |
| Movewell Physical Therapy and Wellness LLC | Physical Therapist | Past |
Accepting new patients |
Locations
11042 State Route 525
Ste 134
Clinton, WA 98236
Phone (360) 331-5272
5522 Freeland Ave
Freeland, WA 98249
Phone (360) 331-0337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0003656 | WA | Yes |
Addresses
Primary practice location
11042 State Route 525 Ste 134
Clinton, WA 98236-8618
Mailing address
PO Box 643
Clinton, WA 98236-0643
Phone (360) 341-1299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125635 | Other | WA | DEPT OF L AND I |
| 8380842 | Medicaid | WA |
Other providers in Clinton, WA
- Georgia Spaulding Edwards
- Etta Pinkens, PT, LLC
- Familycare Physical Therapy
- Hope Fay
- Monique Gaboury
- Sally A Goodwin
- Diane A Jhueck
- Jackilee Wynnell Johnson
- Robyn Louise Jones
- Chanel Jost
All providers in Clinton, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.