Julia S Goodwin, MPT
Individual provider Active NPI Physical Therapist · Mohave Valley, AZ
NPI 1508908120 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508908120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6868 (AZ)
- Practice address
- 8450 Olive Ave
Mohave Valley, AZ 86440-9214 - Phone
- (928) 768-2507
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6868 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6868 | AZ | Yes |
Addresses
Primary practice location
8450 Olive Ave
Mohave Valley, AZ 86440-9214
Mailing address
PO Box 5474
Mohave Valley, AZ 86446-5474
Phone (928) 542-3233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 968919 | Other | AZ | AHCCCS ID NUMBER |
Other providers in Mohave Valley, AZ
- Heidi Fey
- Fort Mojave Health Center Pharmacy
- Fort Mojave Indian Tribe
- Fort Mojave Indian Tribe
- Fort Mojave Indian Tribe
- Ann M Guimond
- Sheila Ann Halbert
- Cynthia Lenette Harper
- William Benjamin Hookstra
- Nadine Irene Johnson
All providers in Mohave Valley, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.