Organization Active NPI

Goodrich Performance Therapy

Doing business as Goodrich Physical Therapy

  • Physical Therapist
  • Morgan, UT
National Provider Identifier
1306604327
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GOODRICH PERFORMANCE THERAPY
Doing business as
Goodrich Physical Therapy
Practice address
209 N State St Ste D
Morgan, UT 84050-9903
Phone
(801) 845-9950
Fax
(801) 845-9951
NPI assigned
Mar 13, 2024
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Daniel Goodrich, DPTNPI 1205273588
Title
Owner/Physical Therapist
Phone
(801) 845-9950

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 NU Primary

Addresses

Primary practice location

209 N State St Ste D
Morgan, UT 84050-9903

Mailing address

PO Box 313
Morgan, UT 84050-0313
Phone (801) 845-9950

Other names 1

  • Goodrich Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

209 N State St
Ste D
Morgan, UT 84050
Phone (801) 845-9950

Practitioners & affiliated clinicians

Practitioners 1

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": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1306604327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840500313",
            "telephone_number": "801-845-9950",
            "fax_number": "801-845-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N STATE ST STE D",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840509903",
            "telephone_number": "801-845-9950",
            "fax_number": "801-845-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODRICH PERFORMANCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-845-9950",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodrich Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.