Active NPI
Elizabeth Jayne Goode, PT
- Physical Therapist
- Carrboro, NC
National Provider Identifier
1376877357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7340
- Practice address
- 304 W Weaver St
Ste 103
Carrboro, NC 27510-2084 - Phone
- (919) 942-0240
- Fax
- (919) 942-0280
- NPI assigned
- Sep 24, 2009
- 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 Therapist | 225100000X | 7340 | NC | Primary |
Addresses
Primary practice location
304 W Weaver St
Ste 103
Carrboro, NC 27510-2084
Mailing address
304 West Weaver Street
Ste 103 Balanced Physical Therapy
Carrboro, NC 27510-2079
Phone (919) 942-0240
Other names 1
- Beth Shawver-Goode
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7340 | NC | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| World Class Chiropractic, PLLC | Past | Accepting new patients |
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.
-
- Chiropractor
- Mebane, NC
- NPI 1831140482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1376877357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 WEST WEAVER STREET",
"address_2": "STE 103 BALANCED PHYSICAL THERAPY",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275102079",
"telephone_number": "919-942-0240",
"fax_number": "919-942-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W WEAVER ST",
"address_2": "STE 103",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275102084",
"telephone_number": "919-942-0240",
"fax_number": "919-942-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "ELIZABETH",
"middle_name": "JAYNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "7340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "SHAWVER-GOODE",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.