Hallie Kristine Goettsche, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

121186522402 Issued in UT

Practice address

137 N 100 W
Tooele, UT 84074-2030

Phone

(435) 228-8891

NPI assigned

Apr 13, 2021

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

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1538749460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N 100 W",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742030",
            "telephone_number": "435-228-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N 100 W",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742030",
            "telephone_number": "435-228-8891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 N 100 W",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840742030",
            "country_code": "US",
            "telephone_number": "435-228-8891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETTSCHE",
        "first_name": "HALLIE",
        "middle_name": "KRISTINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "121186522402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Rex Gibson, PA-C
• Laura Gifford, RPH
• Sarah Gill, PA-C
• Lamar J Gillen, LPC
• Alize Goble, RN BSN
• Amanda Gold, MS, CCC-SLP
• Brian Golding
• Ashley Taylor Gomes
• Daniel Gonzales
• Savanna Goodin, MA, ED.S.

• Physical Therapy Assistant in Tooele, UT
• Providers in Tooele, UT by specialty
• Physical Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.