Katelyn Anne Goodhart

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

29171 Issued in MD

Practice address

1920 Greenspring Dr. Ste. 100
Timonium, MD 21093

Phone

(410) 560-3931

Fax

(410) 560-0877

NPI assigned

Dec 23, 2022

Sex

Female

Sole proprietor

No

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 MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: katelyn.goodhart.1@8042.direct.athenahealth.com

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  MD

  Medicare reassignment Care Compare group NPD
• Conrad & Renzi, P.a.

  • Physical Therapist
  • Towson, MD
  • NPI 1780658344

  MD

  Medicare reassignment NPD
• Felice Physical Therapy

  • Physical Therapy Clinic/Center
  • Hunt Valley, MD
  • NPI 1851774475

  MD

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Potomac, MD
  • NPI 1316898299
  Care Compare group
• Privia Medical Group, LLC

  • Nephrology Physician
  • Rockville, MD
  • NPI 1851246722
  Care Compare group
• Privia Medical Group, LLC

  • Podiatrist
  • Falls Church, VA
  • NPI 1205787322
  Care Compare group
• Privia Medical Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, VA
  • NPI 1558212449
  Care Compare group
• Privia Medical Group, LLC

  • Orthopaedic Surgery Physician
  • MC Lean, VA
  • NPI 1700737699
  Care Compare group
• Felice Physical Therapy

  • Physical Therapy Clinic/Center
  • Towson, MD
  • NPI 1629707948
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Conrad & Renzi, P.a.

  • Physical Therapy Clinic/Center
  • Towson, MD
  • NPI 1457880148
  NPD (past)
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1245942010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 GREENSPRING DR. STE. 100",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-560-3931",
            "fax_number": "410-560-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 GREENSPRING DR. STE. 100",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-560-3931",
            "fax_number": "410-560-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHART",
        "first_name": "KATELYN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "29171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glee Med Spa
• Global Complex Eye Care LLC
• Michele Goldman-Ranger
• Kelsey Hannah Goldstrom, PA-C
• Good Vibes Care LLC
• Justin Blake Goodman, RD, LDN
• Destane Goods
• David John Goodwin Jr., PT
• Makayla Gordon
• Stuart Marshall Gordon, D.D.S.

• All providers in Timonium, MD
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.