Harrison L Goudiss, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014231 Issued in GA

Practice address

5290 Roswell Rd
Suite W
Atlanta, GA 30342-1978

Phone

(404) 477-5555

Fax

(404) 477-5556

NPI assigned

Aug 27, 2019

Sex

Male

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 TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Results-Ast JV, LLC

  • Physical Therapist
  • Franklin, TN
  • NPI 1780291948
  Medicare reassignment Care Compare group
• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist

  Medicare reassignment NPD
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1316595002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 ROSWELL RD",
            "address_2": "SUITE W",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421978",
            "telephone_number": "404-477-5555",
            "fax_number": "404-477-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 ROSWELL RD",
            "address_2": "SUITE W",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421978",
            "telephone_number": "404-477-5555",
            "fax_number": "404-477-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDISS",
        "first_name": "HARRISON",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Gottlieb
• Lindsey Bornstein Gottlieb, MD
• Jennifer Christine Gottschalk, M.D.
• Kimberly Gouch, RN
• Cynthia Goudeau, RD,LD
• Steven Goudy, MD
• Brittney N Gould, NURSE PRACTITIONER
• Carolyn V Gould, M.D.
• Jenna M Gould, LMSW
• Katharine Perry Gould, APRN

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.