Paul Goodrich, DPT
Individual provider Active NPI Physical Therapist · Monticello, UT
NPI 1508218330 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1508218330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9381156-8016 (UT)
- Practice address
- 364 W 100 N
Monticello, UT 84535 - Phone
- (435) 678-3869
- Fax
- (435) 678-3769
- NPI assigned
- Jul 5, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Nevada School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Precision Rehabilitation PC
Practice addresses (Care Compare)
802 S 200
Blanding, UT 84511-3910
Phone (435) 678-3869
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160812001260 | UT | Practitioner - Physical Therapist in Private Practice | 0345534350 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Navajo Health System, Incorporated | Current |
Accepting new patients | |
| Utah Navajo Health System, Incorporated | Current |
Accepting new patients | |
| Precision Rehabilitation PC | Physical Therapist | Current |
Accepting new patients |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients |
Locations
802 S 200 W
Blanding, UT 84511
Phone (435) 678-3869
Interoperability endpoints
- paul.goodrich.1@16098.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9381156-8016 | UT | Yes |
Addresses
Primary practice location
364 W 100 N
Monticello, UT 84535
Mailing address
PO Box 745
Blanding, UT 84511-0745
Phone (435) 678-3869
Other practice location 1
802 S 200 W
Blanding, UT 84511-3910
Phone (435) 678-3869
Other providers in Monticello, UT
- Elynn Michelle Christiansen
- Douglas Zeb Crofts
- Steven Floyd Duke
- Nicole Marie Fox
- Blen Arlow Freestone
- Brian James Goodwine
- Ihc Health Services Inc
- Kelly Marvin Jeppesen
- Michael James Judi
- Kayenta Dental
All providers in Monticello, UT · Physical Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.