Active NPI
Mini B Goddard, M.D.
- Physical Medicine & Rehabilitation Physician
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35067560
- Practice address
- 1060 Eastwind Dr
Westerville, OH 43081-3331 - Phone
- (872) 231-3162
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35067560 | OH | Primary |
Addresses
Primary practice location
1060 Eastwind Dr
Westerville, OH 43081-3331
Mailing address
PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2863512 | Medicaid | OH |
Other names 1
- Dr. Mini B. Goddard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 73.83
- Improvement activities
- 40
- Cost
- 45.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35067560 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerner PMR LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Integrated Rehab Consultants LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Integrated Rehab Consultants LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Mini B Goddard M D P C | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Columbus Bone, Joint & Hand Surgeons, Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
5691 Thompson Rd
Columbus, OH 43230
Phone (614) 255-6901
1425 Yorkland Rd
Columbus, OH 43232
Phone (614) 751-2525
6905 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8150
402 Liberty Way
Gahanna, OH 43230
Phone (614) 831-2600
1060 Eastwind Dr
Westerville, OH 43081
Phone (614) 895-1038
Organizations & group practices 6
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.
-
dba Dublin Physical Medicine
- Physical Medicine & Rehabilitation Physician
- Dublin, OH
- NPI 1669606018
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
OH
-
- Physical Medicine & Rehabilitation Physician
- Riverview, MI
- NPI 1528112679
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1316829146
-
- Durable Medical Equipment & Medical Supplies
- Columbus, OH
- NPI 1417023755
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1326033754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74008272",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606748272",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 EASTWIND DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813331",
"telephone_number": "872-231-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODDARD",
"first_name": "MINI",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35067560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2863512",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MINI",
"last_name": "GODDARD",
"middle_name": "B.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.