Leticia Ann Goodpasture Hulse

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005000204 Issued in MO

Practice address

10407 Elm Rd
Hannibal, MO 63401-7347

Phone

(573) 406-8694

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 names 1

• Leticia Ann Goodpasture Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• K.B. Therapy, Inc.

  dba Priority Physical Therapy

  • Physical Therapist
  • Palmyra, MO
  • NPI 1932141702
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245308717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10407 ELM RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634017347",
            "telephone_number": "573-406-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 ELM RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634017347",
            "telephone_number": "573-406-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "LETICIA",
        "middle_name": "ANN GOODPASTURE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005000204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETICIA",
            "last_name": "GOODPASTURE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• HQ Eyes, LLC
• HRW, Inc. (Harold and Louise Assisted Living)
• HRW, Inc. (Harold and Louise Healthcare Center)
• Tara Marie Huber, MSE, LPC
• Patsy J Hudson, FNP-BC
• Janet K Hultgren, MSW LCSW
• Andrew Michael Hummel, M.D.
• Karen Humphrey
• Kathleen Humphreys, MSW, PLCSW
• Rebecca Lynne Humphreys, DPT

• Physical Therapist in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.