Active NPI
David Ray Godino, PT, DPT
- Orthopedic Physical Therapist
- Pampa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1200300
- Practice address
- 2545 Perryton Pkwy Ste 35
Pampa, TX 79065-2820 - Phone
- (806) 486-1697
- Fax
- (806) 412-5573
- NPI assigned
- Sep 17, 2010
- Last updated
- Aug 14, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1200300 | TX | Primary |
Addresses
Primary practice location
2545 Perryton Pkwy Ste 35
Pampa, TX 79065-2820
Mailing address
2525 N. Grandview Avenue
Suite 400
Odessa, TX 79761-4781
Phone (432) 550-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2833224802 | Medicaid | TX | |
| 1200300 | Other | TX | ECPTOTE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2545 Perryton Pkwy
Suite 35
Pampa, TX 79065-2820
Phone (806) 486-1697
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phytex Rehabilitation, LLC | Orthopedic | Current | Accepting new patients |
| Phytex Rehabilitation, LLC | Orthopedic | Current | Accepting new patients |
| High Plains Practice Management LLC | Orthopedic | Current | Accepting new patients |
| Phytex Rehabilitation, LLC | Orthopedic | Current | Accepting new patients |
Locations
1365 W University Blvd
Odessa, TX 79764
Phone (432) 580-0011
2525 N Grandview Ave
Ste 400
Odessa, TX 79761
Phone (432) 550-4700
5000 Hanover Dr
Odessa, TX 79761
Phone (432) 550-4700
2545 Perryton Pkwy
Ste 35
Pampa, TX 79065
Phone (806) 486-1697
Organizations & group practices 4
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.
-
dba Physical Therapy Extra
- Physical Therapist
- Pampa, TX
- NPI 1366278657
Orthopedic
-
dba PhyTEx Rehabilitation & Sports Medicine Associates
- Physical Therapist
- Odessa, TX
- NPI 1053405977
Orthopedic
-
dba PhyTEx Big Bend
- Physical Therapist
- Alpine, TX
- NPI 1285904334
Orthopedic
-
dba PhyTEx Rehabilitation & Sports Medicine Associates
- Physical Therapist
- Humble, TX
- NPI 1366937591
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1265740856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 N. GRANDVIEW AVENUE",
"address_2": "SUITE 400",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614781",
"telephone_number": "432-550-4700",
"fax_number": "432-550-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 PERRYTON PKWY STE 35",
"city": "PAMPA",
"state": "TX",
"postal_code": "790652820",
"telephone_number": "806-486-1697",
"fax_number": "806-412-5573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODINO",
"first_name": "DAVID",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-17",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1200300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2833224802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECPTOTE",
"identifier": "1200300",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pampa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.