Active NPI
Marie T Goihl, PT
- Physical Therapist
- Byron, MN
National Provider Identifier
1457324113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4696
- Practice address
- 1126 Maplebeck Enclave NE
Byron, MN 55920-1585 - Phone
- (507) 261-4474
- NPI assigned
- Feb 10, 2006
- Last updated
- Nov 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4696 | MN | Primary |
Addresses
Primary practice location
1126 Maplebeck Enclave NE
Byron, MN 55920-1585
Mailing address
1126 Maplebeck Enclave NE
Byron, MN 55920-1585
Phone (507) 261-4474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278670100 | Medicaid | MN |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exercisabilities, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1457324113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 MAPLEBECK ENCLAVE NE",
"city": "BYRON",
"state": "MN",
"postal_code": "559201585",
"telephone_number": "507-261-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 MAPLEBECK ENCLAVE NE",
"city": "BYRON",
"state": "MN",
"postal_code": "559201585",
"telephone_number": "507-261-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOIHL",
"first_name": "MARIE",
"middle_name": "T",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278670100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Byron, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.