Vivian Carter Goo, P.T,

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12431 Issued in CA

Practice address

730 Gilman St
Berkeley, CA 94710-1325

Phone

(510) 504-5484

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holisticare Physical TherapyGroup PAC ID 8820314651, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Holisticare Physical Therapy

  • Physical Therapist
  • Honolulu, HI
  • NPI 1215326509
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1205047784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1732",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968061732",
            "telephone_number": "510-504-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 GILMAN ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101325",
            "telephone_number": "510-504-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOO",
        "first_name": "VIVIAN",
        "middle_name": "CARTER",
        "name_prefix": "Ms.",
        "credential": "P.T,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Daniel Gonzalez
• Lilian Gonzalez
• Mariela R Gonzalez
• Miranda Gonzalez, PPS
• Victoria Crystelle Gonzalez
• Emma Goodfield
• Eva L. Goodfriend-Reano, CNM
• Lindsay Erin Goodlin, MSW
• Jessica V Goodman
• Karole Goodman

• Physical Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.