Morgan Michel Goudy, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT018119 Issued in OH

Practice address

4801 Springfield St
Dayton, OH 45431-1084

Phone

(937) 236-9965

NPI assigned

Jul 11, 2019

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Montgomery County Educational Service Center

  • Local Education Agency (LEA)
  • Dayton, OH
  • NPI 1457590101
  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1215589080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 BROOKMEADE CT",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738304",
            "telephone_number": "937-902-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SPRINGFIELD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454311084",
            "telephone_number": "937-236-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3817 Colonel Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "453242031",
            "country_code": "US",
            "telephone_number": "937-427-9203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUDY",
        "first_name": "MORGAN",
        "middle_name": "MICHEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT018119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL  THERAPY LICENSURE",
            "identifier": "PT018119",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0363730",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4801 Springfield St",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454311084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Goubeaux, PT, DPT
• Douglas Gouchoe, MD
• Jan Jack Gouda, M.D.
• Heather R Goudy, CT
• Katria Goudy
• William David Gould, M.D.
• Governor'S Place Ambulatory Surgery Center LLC
• Amit Goyal, MD
• Anuj Goyal, M.D.
• Siddarth Goyal, D.O

• Physical Therapy Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.