Individual provider Active NPI

Edith Philene Goody, DPT

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1407001340
Registry record updated Jul 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030788-1 Issued in NY
Practice address
195 S Middle Neck Rd Apt 2a
Great Neck, NY 11021-4622
Phone
(516) 570-0794
Fax
(516) 570-0794
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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 030788-1 NY Primary

Addresses

Primary practice location

195 S Middle Neck Rd Apt 2a
Great Neck, NY 11021-4622

Mailing address

195 S Middle Neck Rd Apt 2a
Great Neck, NY 11021-4622
Phone (719) 351-8447

Other names 1

  • Edith Philene Ritterband Former name

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

LicenseStateTypeSpecialty
030788-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1407001340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S MIDDLE NECK RD APT 2A",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214622",
            "telephone_number": "719-351-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S MIDDLE NECK RD APT 2A",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214622",
            "telephone_number": "516-570-0794",
            "fax_number": "516-570-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODY",
        "first_name": "EDITH",
        "middle_name": "PHILENE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030788-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "RITTERBAND",
            "middle_name": "PHILENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.