Kellie Gotangco

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13663 Issued in TN

Practice address

4027 Hillsboro Pike Ste 801
Nashville, TN 37215-2734

Phone

(615) 385-2201

Fax

(615) 383-8590

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1215518402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 HILLSBORO PIKE STE 801",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152734",
            "telephone_number": "615-385-2201",
            "fax_number": "615-383-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTANGCO",
        "first_name": "KELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jejaw Shibabaw Goshu I
• Abigail Goss, APRN
• Danielle Goss
• James Alexander Goss, MD
• Meredith LM Gossett, LCSW
• Katherine Oberle Gotham, PH.D.
• Alisa Carman Gotte, M.D.
• Emily Gottlick
• Courtney Doyle Goudeau, NP
• Spencer Alan Goudeau, PA-C

• Physical Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.