Melanie D Goetz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004413A Issued in IN

Practice address

309 E Morehead St
Suite 200
Charlotte, NC 28202-2301

Phone

(704) 887-4409

Fax

(866) 231-5080

NPI assigned

May 29, 2012

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cirrus Holdings USA, LLC

  • Nursing Care Agency
  • Charlotte, NC
  • NPI 1023476389
  NPD (past)

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1477813103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 QUEENS CT",
            "address_2": "APT H",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623273",
            "telephone_number": "734-755-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MOREHEAD ST",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022301",
            "telephone_number": "704-887-4409",
            "fax_number": "866-231-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "MELANIE",
        "middle_name": "D",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004413A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Teresa Godwin, SLP
• Lisabeth R Goebelbecker, LCMHCA
• Lauren Jacoby Goeke, FNP-C
• John David Goelz, DDS
• Susan Carol Goerke, OTR
• Melissa A. Goff, CCC-SLP
• Allie Caitlin Goforth, NP
• Dana Goforth, FNP
• Goggans Associates of North Carolina PC
• Sara Charles Goguen, MSW, LCSW

• Physical Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.