Individual provider Active NPI

Brice Goode, PT

  • Physical Therapist
  • Farmville, VA
National Provider Identifier
1275104036
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214651 Issued in VA
Practice address
1516 S Main St
Farmville, VA 23901-2546
Phone
(434) 326-0209
Fax
(434) 200-8863
NPI assigned
Jul 2, 2021
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PTL.0017741 CO
Physical Therapist 225100000X 05016341A IN
Physical Therapist 225100000X CP054278T IN
Physical Therapist 225100000X PT017960 GA
Physical Therapist 225100000X 2305214651 VA Primary

Addresses

Primary practice location

1516 S Main St
Farmville, VA 23901-2546

Mailing address

PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050

Other practice location 1

8501 Wilshire Blvd Ste 336
Beverly Hills, CA 90211-3134
Phone (424) 239-7817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220104001515 VA Practitioner - Physical Therapist in Private Practice 0244636256 Reassigns benefits to 3 organizations
I20260414002073 IN Practitioner - Physical Therapist in Private Practice 0244636256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2502 Calumet Ave
Valparaiso, IN 46383-2762
Phone (219) 280-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306162CAMDPhysical Medicine & Rehabilitation Physician
PTL.0017741COMDPhysical Medicine & Rehabilitation Physician
2305214651VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer PT of VA LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Mary Washington Healthcare Physicians Physical Therapist CurrentSince Jun 16, 2022 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jun 16, 2022 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 31, 2026 Accepting new patients
Ivyrehab Sept, LLC Physical Medicine & Rehabilitation PastSince Aug 31, 2026 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

1490 Pantops Mountain Pl
Ste 202
Charlottesvle, VA 22911
Phone (434) 245-6472

1516 S Main St
Farmville, VA 23901
Phone (434) 326-0209

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

9530 Cosner Dr
Ste 101
Fredericksburg, VA 22408

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1275104036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S MAIN ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012546",
            "telephone_number": "434-326-0209",
            "fax_number": "434-200-8863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8501 Wilshire Blvd Ste 336",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902113134",
            "country_code": "US",
            "telephone_number": "424-239-7817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODE",
        "first_name": "BRICE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "PTL.0017741",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016341A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "CP054278T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017960",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.