NPIMap

Organization Active NPI

Goodemote Physical Therapy PLLC

  • Physical Therapist
  • Saratoga Springs, NY
National Provider Identifier
1407122435
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0171611 Issued in NY
Legal business name
GOODEMOTE PHYSICAL THERAPY PLLC
Practice address
3 Maple Dell
Saratoga Springs, NY 12866-2951
Phone
(518) 332-4614
NPI assigned
Mar 23, 2012
Last updated
Nov 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Mr. Matthew T Goodemote, MPTNPI 1053328468
Title
Owner
Phone
(518) 332-4614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0171611 NY Primary

Addresses

Primary practice location

3 Maple Dell
Saratoga Springs, NY 12866-2951

Mailing address

PO Box 411
Saratoga Springs, NY 12866-0411
Phone (518) 332-4614

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1407122435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128660411",
            "telephone_number": "518-332-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAPLE DELL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662951",
            "telephone_number": "518-332-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODEMOTE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "GOODEMOTE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-332-4614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0171611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.