Individual provider Active NPI

Danielle Goodman

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1184466336
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070028439 Issued in IL
Practice address
1640 W Roosevelt Rd
Chicago, IL 60608-1316
Phone
(312) 413-8043
NPI assigned
Jun 10, 2024
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 NU
Physical Therapist 225100000X 070028439 IL Primary

Addresses

Primary practice location

1640 W Roosevelt Rd
Chicago, IL 60608-1316

Mailing address

6572 Dorset LN
Solon, OH 44139-6710
Phone (216) 406-5636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240909001287 IL Practitioner - Physical Therapist in Private Practice 9537609284 Reassigns benefits to 1 organization
I20251010000636 TX Practitioner - Physical Therapist in Private Practice 9537609284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

1111 W 34TH St
Suite 101
Austin, TX 78705-1916
Phone (512) 900-3231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070028439ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Aug 2, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Physical Therapist CurrentSince Aug 2, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Texas Physical Therapy Specialists CurrentSince Sep 24, 2024 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Sep 24, 2024 Accepting new patients

Locations

1640 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 413-1871

1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

1111 W 34th St
Ste 101
Austin, TX 78705
Phone (512) 302-3921

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1184466336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6572 DORSET LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441396710",
            "telephone_number": "216-406-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081316",
            "telephone_number": "312-413-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.