Individual provider Active NPI

Christopher Aaron Goetz, PT

  • Physical Therapist
  • Bear, DE
National Provider Identifier
1164460341
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0001620 Issued in DE
Practice address
1651-53 Pulaski Highway
Bear, DE 19701-1453
Phone
(302) 834-1550
Fax
(302) 834-1549
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0001620 DE Primary
Physical Therapist 225100000X PT015446 PA

Addresses

Primary practice location

1651-53 Pulaski Highway
Bear, DE 19701-1453

Mailing address

2 W 10TH St
Marcus Hook, PA 19061-4513
Phone (610) 859-8850

Other identifiers 10

IdentifierTypeStateIssuer
057805VLZOtherPAMEDICARE
1164460341MedicaidDE
1386530OtherHIGHMARK PABS
30071081OtherPAKEYSTONE MERCY
1164460341OtherDEDPCI
P00692894OtherRAILROAD
2076609000OtherIBC
P00160856OtherDERAILROAD MEDICARE
102404710-0001MedicaidPA
021749D48OtherDEMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000477 DE Practitioner - Physical Therapist in Private Practice 0244127843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

Practice addresses (Care Compare)

1015 S Governors Ave
Dover, DE 19904-6901
Phone (302) 730-4800

1211 Churchmans Rd
Newark, DE 19713-2149
Phone (302) 455-2074

1214 Beaver Brook PLZ
New Castle, DE 19720-8632
Phone (302) 544-4388

1651-53 Pulaski Hwy
Bear, DE 19701-1453
Phone (302) 834-1550

2701 Kirkwood Hwy
Lowr Level
Wilmington, DE 19805-4911
Phone (302) 668-1768

2717 Pulaski Hwy
Newark, DE 19702-3960
Phone (302) 292-3454

33 Deak Dr
Suite 101
Smyrna, DE 19977-1268
Phone (302) 659-5700

3911 Washington St
Wilmington, DE 19802-2147
Phone (302) 764-8192

432 E Main St
Middletown, DE 19709-1462
Phone (302) 376-4315

4709 Kirkwood Hwy
Wilmington, DE 19808-5007
Phone (302) 998-9880

551 S Red Haven Lane
Camden, DE 19901-6483
Phone (302) 697-4294

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0001620DEMDPhysical Therapist
PT015446PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Apr 7, 2006 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Apr 7, 2006 Accepting new patients
Home Care Health Specialists LLC Physical Therapist PastSince Aug 1, 2016 Accepting new patients
Dynamic Physical Therapy Physical Therapist Past Accepting new patients
Dynamic Therapy Services of Pennsylvania LLC Physical Therapist Past Accepting new patients

Locations

1651 Pulaski Hwy
Ste 53
Bear, DE 19701

1651 Pulaski Hwy
#53
Bear, DE 19701

551 S Red Haven Ln
Ste 102
Dover, DE 19901
Phone (302) 697-4294

26396 Bay Farm Rd
Unit 1
Millsboro, DE 19966
Phone (302) 629-5700

130 Executive Dr
Ste 7
Newark, DE 19702
Phone (302) 292-3454

4709 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 998-9880

2801 Lancaster Ave
Ste H
Wilmington, DE 19805
Phone (302) 778-0810

4948 Pennell Rd
Aston, PA 19014
Phone (610) 494-8730

30 E 10th St
Marcus Hook, PA 19061
Phone (610) 859-9110

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1164460341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 10TH ST",
            "city": "MARCUS HOOK",
            "state": "PA",
            "postal_code": "190614513",
            "telephone_number": "610-859-8850",
            "fax_number": "610-859-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651-53 PULASKI HIGHWAY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011453",
            "telephone_number": "302-834-1550",
            "fax_number": "302-834-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001620",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "057805VLZ",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164460341",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PABS",
            "identifier": "1386530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30071081",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "1164460341",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00692894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2076609000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00160856",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102404710-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "021749D48",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.