Goshe Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12761 Issued in CA

Legal business name

GOSHE PHYSICAL THERAPY, INC.

Practice address

404 Westminster Ave # 6
Newport Beach, CA 92663-4237

Phone

(949) 646-6863

Fax

(949) 646-6538

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Laurie Goshe, P.T.NPI 1316082027

Title

Owner

Phone

(949) 646-6863

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie J Goshe, P.T.

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1316082027

  CA, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1174748693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WESTMINSTER AVE # 6",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634237",
            "telephone_number": "949-646-6863",
            "fax_number": "949-646-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WESTMINSTER AVE # 6",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634237",
            "telephone_number": "949-646-6863",
            "fax_number": "949-646-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "GOSHE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-646-6863",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LISENCE NUMBER",
            "identifier": "PT12761",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Gordon, MA, MFT
• Laura Gordon
• Goretti Ho Taghva M D Inc
• Sean Gorgie, BCBA
• Laura Christine Gorham, P.T.
• Laurie J Goshe, P.T.
• Katina Niki Goshtasby, MA, LMFT
• Parviz H Goshtasby, M.D.
• Mia Goss
• Gerald T Gostanian, MD

• All providers in Newport Beach, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.