Active NPI
Heather Maclaughlin Goodman, PT
- Physical Therapist
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P13860
- Practice address
- 354 Copperfield Blvd NE
Concord, NC 28025-2402 - Phone
- (704) 323-2000
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- 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 | P13860 | NC | Primary |
Addresses
Primary practice location
354 Copperfield Blvd NE
Concord, NC 28025-2402
Mailing address
4601 Park Rd
Suite 250
Charlotte, NC 28209-3239
Phone (704) 323-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120906000649 | NC | Practitioner - Physical Therapist in Private Practice | 9032367529 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atrium Health Specialty Network Inc
Practice addresses (Care Compare)
101 Y M C a Dr
Suite 119
Kannapolis, NC 28081-3358
Phone 98040212083358
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P13860 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
| Atrium Health Neurospine Network LLC | Current | Accepting new patients | |
| Atrium Health Specialty Network Inc | Physical Therapist | Current | Accepting new patients |
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
| Atrium Health Neurospine Network LLC | Current | Accepting new patients | |
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
| Foundation Health Systems LLC | Physical Therapist | Past | Accepting new patients |
Locations
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
354 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 262-4181
10314 Hamptons Park Dr
Huntersville, NC 28078
Phone (704) 831-4100
101 Y M C a Dr
Ste 119
Kannapolis, NC 28081
Phone (980) 402-1208
Interoperability endpoints
- https://epicproxy.et0905.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 7
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.
-
- Dermatology Physician
- Charlotte, NC
- NPI 1538975636
NC, Physical Therapist
-
- Neurological Surgery Physician
- Rock Hill, SC
- NPI 1831081454
-
- Physical Therapy Clinic/Center
- Winston Salem, NC
- NPI 1205894029
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1124375084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD",
"address_2": "SUITE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093239",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 COPPERFIELD BLVD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252402",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "HEATHER",
"middle_name": "MACLAUGHLIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P13860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.