Heather Johnson Goff, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1236 Issued in SC

Practice address

297 W Boyce St
Manning, SC 29102-3004

Phone

(803) 433-9001

Fax

(803) 433-9002

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Southern Lakes Therapy LLC

  • Physical Therapist
  • Manning, SC
  • NPI 1700212420

  Physical Therapy Assistant

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1144344367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N BREWINGTON RD",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291027330",
            "telephone_number": "803-473-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 W BOYCE ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023004",
            "telephone_number": "803-433-9001",
            "fax_number": "803-433-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "HEATHER",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Claire Geddings, FNP-BC
• Katrina Gibson, RN
• Kevin James Gist II
• Jennifer L Glassey, DMD
• Charles E. Godwin III, NP
• Rashawnda S Gooden
• Jessica Kayla Gordon, DO
• Caroline Coullette Grant, SAS
• Australia Van Dyke Greene, NP-C
• Jesse Meek Greene IV, CRNA

• Physical Therapy Assistant in Manning, SC
• Providers in Manning, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.