Active NPI
Heidi Goff, PT
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Winter Springs, FL
National Provider Identifier
1245298975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- PT 16192
- Practice address
- 114 Avery Lake Dr
Winter Springs, FL 32708-5186 - Phone
- (407) 312-4133
- Fax
- (877) 980-1981
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | PT 16192 | FL | Primary |
Addresses
Primary practice location
114 Avery Lake Dr
Winter Springs, FL 32708-5186
Mailing address
114 Avery Lake Dr
Winter Springs, FL 32708-5186
Phone (407) 312-4133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 681637196 | Medicaid | FL | |
| 886448900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 16192 | FL | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E3 Testing, Inc. | Past | Accepting new patients | |
| Assurance Therapy, LLC | Neuromusculoskeletal Medicine, Sports Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Winter Springs, FL
- NPI 1508824236
Neuromusculoskeletal Medicine, Sports Medicine
-
- Public Health or Welfare Agency
- Winter Springs, FL
- NPI 1578011029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1245298975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 AVERY LAKE DR",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085186",
"telephone_number": "407-312-4133",
"fax_number": "877-980-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 AVERY LAKE DR",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085186",
"telephone_number": "407-312-4133",
"fax_number": "877-980-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "HEIDI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "FL",
"license": "PT 16192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "681637196",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886448900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.