Jean Ann Goodpasture, PTA

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

1396882510 Issued in FL

Practice address

2202 Brigadoon Dr
Clearwater, FL 33759-2912

Phone

(727) 423-3519

NPI assigned

Jan 30, 2007

Last updated

Nov 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1396882510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 BRIGADOON DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592912",
            "telephone_number": "727-423-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 BRIGADOON DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592912",
            "telephone_number": "727-423-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODPASTURE",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PTA19167",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "1396882510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Goodman, PHARMD
• Gabrielle Goodman
• Gary Richard Goodman, D.P.M.
• Gordon D. Goodman, M. D.
• Hannah Goodman, PTA
• Gary Thomas Goodwin
• Tiffiney Goodwin
• Gordon H. Zuerndorfer M.D., P.a.
• Amanda Gordon, CACIII
• Bruce Paul Gosche, AU D

• Developmental Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.