Active NPI
Ellen Janette Goodheer
- Physical Therapy Assistant
- Muncy, PA
National Provider Identifier
1255786232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE101880
- Practice address
- 215 E Water St
Muncy, PA 17756-8828 - Phone
- (570) 546-8282
- NPI assigned
- Apr 27, 2016
- Last updated
- May 4, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE101880 | PA | Primary |
Addresses
Primary practice location
215 E Water St
Muncy, PA 17756-8828
Mailing address
1400 Campbell St
Williamsport, PA 17701-3043
Phone (717) 636-2315
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 |
|---|---|---|---|
| TE101880 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1255786232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CAMPBELL ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013043",
"telephone_number": "717-636-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E WATER ST",
"city": "MUNCY",
"state": "PA",
"postal_code": "177568828",
"telephone_number": "570-546-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODHEER",
"first_name": "ELLEN",
"middle_name": "JANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE101880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.