Individual provider Active NPI

Shari Goodhart

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1528477486
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038442 Issued in NY
Practice address
3077 Steinway St
Astoria, NY 11103-3801
Phone
(914) 420-4697
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038442 NY Primary

Addresses

Primary practice location

3077 Steinway St
Astoria, NY 11103-3801

Mailing address

29 Old Mill LN
Ardsley, NY 10502-1529
Phone (914) 420-4697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038442NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Kellen Ryan Scantlebury Physical Therapy PLLC Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients
Goodhart Physical Therapy PC Physical Therapist PastSince Apr 30, 2023 Accepting new patients

Locations

153 W 27th St
Ste 1204
New York, NY 10001
Phone (646) 875-8348

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1528477486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 OLD MILL LN",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021529",
            "telephone_number": "914-420-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033801",
            "telephone_number": "914-420-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHART",
        "first_name": "SHARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.