Active NPI
Hans Nicholas Goettling, MPT
- Physical Therapist
- Monrovia, CA
National Provider Identifier
1558596064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21584
- Practice address
- 1133 Norumbega Drive
Monrovia, CA 91016 - Phone
- (626) 358-3063
- Fax
- (626) 358-3063
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21584 | CA | Primary |
Addresses
Primary practice location
1133 Norumbega Drive
Monrovia, CA 91016
Mailing address
1133 Norumbega Drive
Monrovia, CA 91016
Phone (626) 358-3063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090915000306 | CA | Practitioner - Physical Therapist in Private Practice | 0941356059 | Practice locations: El Monte, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21584 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1558596064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 NORUMBEGA DRIVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "91016",
"telephone_number": "626-358-3063",
"fax_number": "626-358-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 NORUMBEGA DRIVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "91016",
"telephone_number": "626-358-3063",
"fax_number": "626-358-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETTLING",
"first_name": "HANS",
"middle_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "21584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.