Active NPI
Terri Goddard
- Mechanotherapist
- Edmonds, WA
National Provider Identifier
1124411392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA60534502
- Practice address
- 144 Railroad Ave
Suite 213
Edmonds, WA 98020-7207 - Phone
- (206) 384-2274
- NPI assigned
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA60534502 | WA | Primary |
| Reflexologist | 173C00000X | RF60485037 | WA |
Addresses
Primary practice location
144 Railroad Ave
Suite 213
Edmonds, WA 98020-7207
Mailing address
144 Railroad Ave
Suite 213
Edmonds, WA 98020-7207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60534502 | WA | MD | Mechanotherapist |
| RF60485037 | WA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1124411392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 RAILROAD AVE",
"address_2": "SUITE 213",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980207207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 RAILROAD AVE",
"address_2": "SUITE 213",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980207207",
"telephone_number": "206-384-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODDARD",
"first_name": "TERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA60534502",
"primary": true
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "WA",
"license": "RF60485037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.