Jenna Mae Goebel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1337 Issued in WI

Practice address

1109 W Clairemont Ave
Eau Claire, WI 54701-6105

Phone

(715) 717-5364

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jgoebel108783@ewd.direct.hshs.org

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.

• Sport & Spine Clinic L.P.

  • Physical Therapist
  • Stratford, WI
  • NPI 1780020396
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1396860409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016105",
            "telephone_number": "715-717-5364",
            "fax_number": "715-359-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016105",
            "telephone_number": "715-717-5364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1518 Metro Dr",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Schofield",
            "state": "WI",
            "postal_code": "544762380",
            "country_code": "US",
            "telephone_number": "715-359-8465",
            "fax_number": "715-359-8832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "JENNA",
        "middle_name": "MAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgoebel108783@ewd.direct.hshs.org",
            "affiliation": "N",
            "endpointDescription": "Leave Blank",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDDA/CCD/TXT",
            "address_1": "1109 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgoebel108783@ewd.direct.hshs.org",
            "affiliation": "N",
            "endpointDescription": "Leave Blank",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1109 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ali Glodowski
• Angela M. Glodowski
• Linda Go, M.D.
• Glynna Erin Godfrey, PT,DPT
• Kylie Ann Godfrey, LCSW
• William Bradley Goeltz, PSYD
• Kurt P Goergen, CRNA
• Heather Goff, PA
• Golde Chiropractic Center SC
• Golden Ride Transportation LLC

• Physical Therapy Assistant in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.