Individual provider Active NPI

Deborah Walker Goetz, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1366401473
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27055 Issued in FL
Practice address
5749 Volsella PL
Sarasota, FL 34231-4939
Phone
(646) 221-5293
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27055 FL Primary

Addresses

Primary practice location

5749 Volsella PL
Sarasota, FL 34231-4939

Mailing address

5749 Volsella PL
Sarasota, FL 34231-4939
Phone (646) 221-5293

Other practice location 1

8014 170th St
Jamaica, NY 11432-1331
Phone (212) 674-4616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140211001500 FL Practitioner - Physical Therapist in Private Practice 5890681167 Reassigns benefits to 1 organization
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physical Therapy Services of Sarasota LLC Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients

Locations

3251 Proctor Rd
Sarasota, FL 34231
Phone (941) 256-3259

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1366401473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 VOLSELLA PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314939",
            "telephone_number": "646-221-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5749 VOLSELLA PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314939",
            "telephone_number": "646-221-5293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8014 170th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114321331",
            "country_code": "US",
            "telephone_number": "212-674-4616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER GOETZ",
        "first_name": "DEBORAH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.