Tracy Lea Godshall, MA CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL003054L Issued in PA

Practice address

2131 Hendricks Station Rd
Harleysville, PA 19438-1315

Phone

(215) 234-4208

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab1 LLCGroup PAC ID 3173626272, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehab1 LLC

  • Physical Therapist
  • West Chester, PA
  • NPI 1902976855
  Medicare reassignment Care Compare group NPD
• On Site Dermatology of Pennsylvania PLLC

  • Dermatology Physician
  • Lower Gwynedd, PA
  • NPI 1114369873
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316070618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 HENDRICKS STATION RD",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381315",
            "telephone_number": "215-234-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 HENDRICKS STATION RD",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381315",
            "telephone_number": "215-234-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSHALL",
        "first_name": "TRACY",
        "middle_name": "LEA",
        "credential": "MA CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003054L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Gavrilov, MS, LPC
• Charles Geiger
• Dana Lynn Gentile, MSN, CRNP, PMHNP-BC
• Gina M. Ellery, LLC
• Go2Therapy,LLC
• Shane Golden
• Grand View Hospital (Grand View Hospital Medical Practices Gastroenterology Associates)
• Grand View Hospital (Grand View Hospital Medical Practices Harleysville)
• Grand View Hospital (Grand View Health Primary Care Harleysville)
• Grand View Hospital (Grand View Hospital Medical Practices Lederach)

• Speech-Language Pathologist in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.