Individual provider Active NPI

Andrew J Goetz, PT

  • Physical Therapist
  • Clinton, WA
National Provider Identifier
1104837582
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0003656 Issued in 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
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0003656 WA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000564 WA Practitioner - Physical Therapist in Private Practice 1557252848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0003656WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Whidbey Physical Therapy and Sports Clinic Inc CurrentSince Jan 1, 1999 Accepting new patients
Movewell Physical Therapy and Wellness LLC Physical Therapist PastSince Sep 17, 2023 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

Organizations & group practices 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1104837582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982360643",
            "telephone_number": "360-341-1299",
            "fax_number": "360-341-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 STATE ROUTE 525 STE 134",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982368618",
            "telephone_number": "360-341-1299",
            "fax_number": "360-341-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT0003656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.

Verify at the official NPI Registry.