Donald Goodale, LMT, LAC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

015593-01 Issued in NY

Practice address

16 Lyme LN
East Hampton, NY 11937-5162

Phone

(631) 329-1677

NPI assigned

Feb 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1386277358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LYME LN",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LYME LN",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375162",
            "telephone_number": "631-329-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALE",
        "first_name": "DONALD",
        "credential": "LMT, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006985-01",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "015593-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "d.goodale@me.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16 Lyme Ln",
            "city": "East Hampton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119375162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George P Dempsey MD, PC
• George P. Dempsey, MD PC
• Debra Ann Gherardi, R.N
• Ralph Milton Gibson Jr., M.D.
• Jennifer Goldfarb
• Katheryn E Gorski, PT, DPT
• Matthew Grady, LMSW
• Jennifer Lynn Grazina, LMSW
• Victor J.R. Grazina, DDS
• Kristin C Guarino, LCSW

• Massage Therapist in East Hampton, NY
• Providers in East Hampton, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.