Individual provider Active NPI

Emily Goebert

  • Physical Therapist
  • Greenfield, WI
National Provider Identifier
1457893463
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13228-24 Issued in WI
Practice address
3939 S 92ND St
Greenfield, WI 53228-2140
Phone
(414) 546-7345
NPI assigned
Nov 8, 2016
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 13228-24 WI Primary

Addresses

Primary practice location

3939 S 92ND St
Greenfield, WI 53228-2140

Mailing address

1505 Eastern Ave
Plymouth, WI 53073-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210228000016 WI Practitioner - Physical Therapist in Private Practice 9133534019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Physical Therapy LLCGroup PAC ID 5597716738, 3 clinicians

Practice addresses (Care Compare)

1505 Eastern Ave
Plymouth, WI 53073-2020
Phone (920) 893-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13228-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Physical Therapy LLC Physical Therapist CurrentSince Oct 24, 2020 Accepting new patients

Locations

1505 Eastern Ave
Plymouth, WI 53073
Phone (920) 893-6070

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1457893463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTERN AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530732020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S 92ND ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282140",
            "telephone_number": "414-546-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBERT",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13228-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.