Active NPI
Spencer Goff, PT
- Neurology Physical Therapist
- San Diego, CA
National Provider Identifier
1255667671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT23080
- Practice address
- 1277 Glencoe Dr
San Diego, CA 92114-3400 - Phone
- (619) 248-5962
- Fax
- (619) 462-0150
- NPI assigned
- Oct 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT23080 | CA | Primary |
Addresses
Primary practice location
1277 Glencoe Dr
San Diego, CA 92114-3400
Mailing address
1277 Glencoe Dr
San Diego, CA 92114-3400
Phone (619) 248-5962
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 |
|---|---|---|---|
| PT23080 | CA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1255667671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 GLENCOE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921143400",
"telephone_number": "619-248-5962",
"fax_number": "619-462-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 GLENCOE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921143400",
"telephone_number": "619-248-5962",
"fax_number": "619-462-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "SPENCER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "PT23080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.