Grace N Goodfellow

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

365 W 1550 N Ste H
Layton, UT 84041-2279

Phone

(801) 618-7903

NPI assigned

Jul 6, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880
  Medicare reassignment NPD
• Ihc Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taylorsville, UT
  • NPI 1063536381
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• OT Innovations, LLC

  • Pediatric Occupational Therapist
  • Layton, UT
  • NPI 1578082954
  NPD

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1508483678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W 1550 N STE H",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W 1550 N STE H",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412279",
            "telephone_number": "801-618-7903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1949 Highway 81 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300524583",
            "country_code": "US",
            "telephone_number": "770-207-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODFELLOW",
        "first_name": "GRACE",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "PT014683",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayden Louis Golightly
• Amanda Gonzales
• Brittany Gonzalez Roberts
• Denise Bobbie Gonzalez
• Natcin Gonzalez
• Amanda Goodloe, MS
• Caroline Goodrich
• Gary A Goodrich, PHD
• Valerie Goodspeed
• Nicholas Goodwin

• Physical Therapist in Layton, UT
• Providers in Layton, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.