Addison Jo Herzberg, PT, DPT
Individual provider Active NPI Physical Therapist · Goddard, KS
NPI 1336074087 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1336074087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-08156 (KS)
- Practice address
- 19931 W Kellogg Dr Unit a
Goddard, KS 67052-8864 - Phone
- (316) 800-6227
- NPI assigned
- Jun 15, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19931 W Kellogg Dr
Goddard, KS 67052-8863
19931 W Kellogg Dr
Unit a
Goddard, KS 67052-8864
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-08156 | KS | Yes |
Addresses
Primary practice location
19931 W Kellogg Dr Unit a
Goddard, KS 67052-8864
Mailing address
19931 W Kellogg Dr Unit a
Goddard, KS 67052-8864
Phone (316) 800-6227
Other providers in Goddard, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.