NPIMap

Organization Active NPI

Goodman Physical Therapy PC

  • Physical Therapist
  • West Islip, NY
National Provider Identifier
1295163533
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028198 Issued in NY
Legal business name
GOODMAN PHYSICAL THERAPY PC
Practice address
255 Higbie LN
West Islip, NY 11795-2825
Phone
(631) 661-3180
Fax
(631) 661-3183
NPI assigned
Oct 24, 2013
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Christopher Goodman, MSPT, DPTNPI 1053364075
Title
Owner
Phone
(631) 661-3180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028198 NY Primary

Addresses

Primary practice location

255 Higbie LN
West Islip, NY 11795-2825

Mailing address

255 Higbie LN
West Islip, NY 11795-2825
Phone (631) 661-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140409001959 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355573155 Receives reassigned benefits from 8 practitioners
Practice locations: West Islip, NY

National Provider Directory

National Provider Directory

Locations

400 W Main St
Ste 340
Babylon, NY 11702
Phone (631) 661-3180

255 Higbie Ln
West Islip, NY 11795
Phone (631) 661-3180

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1295163533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952825",
            "telephone_number": "631-661-3180",
            "fax_number": "631-661-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952825",
            "telephone_number": "631-661-3180",
            "fax_number": "631-661-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-661-3180",
        "authorized_official_credential": "MSPT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.