Lisa Dawn Gohdes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT 1965 Issued in CA

Practice address

3250 Lomita Boulevard
Suite 306
Torrance, CA 90505-5006

Phone

(310) 539-8800

Fax

(310) 698-5414

NPI assigned

Aug 7, 2006

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.

• Independent Physical Therapy Inc

  • Physical Therapist
  • Hermosa Beach, CA
  • NPI 1356426902
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528077559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 W. 5TH STREET",
            "city": "SAN PEDRP",
            "state": "CA",
            "postal_code": "907323418",
            "telephone_number": "310-548-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 LOMITA BOULEVARD",
            "address_2": "SUITE 306",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055006",
            "telephone_number": "310-539-8800",
            "fax_number": "310-698-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHDES",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 1965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goel & Cohen Dental Corporation
• Tiana Renise Goff
• Gogerdchian Chiropractic Inc.
• Mindy J Goh, D.O.
• Kathy Gohar, MD
• Viraj Gohil
• Anna Goike
• Jerome Alan Gold, M.D.
• Stuart M Gold, M.D.
• Cheryl Diane Goldasich, D.D.S

• Physical Therapy Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.