Ernest Claude Goddard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

114775 Issued in MO

Practice address

1300 Veterans Blvd
Suite C
Festus, MO 63028-2394

Phone

(636) 931-2100

Fax

(636) 931-2300

NPI assigned

Aug 29, 2006

Last updated

Jul 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ernest.goddard.p2@direct.athleticoltd.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • O'Fallon, MO
  • NPI 1003280421

  Physical Therapist

  Medicare reassignment NPD
• Axes Physical Therapy I, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • Washington, MO
  • NPI 1679032700
  Medicare reassignment
• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
  • NPI 1699530931

  Physical Therapist

  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1437268182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688220",
            "telephone_number": "636-206-4225",
            "fax_number": "636-422-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 VETERANS BLVD",
            "address_2": "SUITE C",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282394",
            "telephone_number": "636-931-2100",
            "fax_number": "636-931-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "ERNEST",
        "middle_name": "CLAUDE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "114775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Marie Gibbs
• Emily Giesler, RD
• Brandi Lynn Gillam, LPC
• Jennifer Lynne Gillam, MPT
• Gregg A. Ginsburg, M.D.
• Robin Denise Goff, FNP-BC
• Erin Lynn Gooch, RPH
• Victoria L Goodman, LPN
• James Dean Gould, M.D.
• Christina Lynn Gower, MAC, LPC

• Physical Therapist in Festus, MO
• Providers in Festus, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.