Keith Goodenough

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

31093 Issued in AZ

Practice address

5353 N 16TH St Ste 120
Phoenix, AZ 85016-3282

Phone

(607) 423-5179

NPI assigned

Jan 2, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tops Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Phoenix, AZ
  • NPI 1972915494
  Medicare reassignment NPD
• Next Level Physical Therapy PC

  • Physical Therapist
  • Golden, CO
  • NPI 1063625937
  NPD (past)
• Next Level Physical Therapy PC

  • Physical Therapist
  • Golden, CO
  • NPI 1932297546
  NPD (past)

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1548733504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 N 16TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163282",
            "telephone_number": "602-826-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 N 16TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163282",
            "telephone_number": "607-423-5179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2922 Lower Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Seneca Falls",
            "state": "NY",
            "postal_code": "131489561",
            "country_code": "US",
            "telephone_number": "607-423-5179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODENOUGH",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31093",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60895437",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Angela Goodale, RD, CDE
• Benjamin J Goode, MD
• Marquita Goode
• Natalie Rene Goode, MSW
• Carolyn Gooden-Spearman, LPN
• Alessandra Goodfellow, PT, DPT
• Goodheart Home Care
• Thomas R Goodine, MD
• Debora Kay Goodland, R.N.
• Katherine Goodloe, DNP, FNP-C

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.