Goal Pediatric Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GOAL PEDIATRIC ORTHOTICS LLC

Practice address

7138 S Highland Dr Ste 100
Cottonwood Heights, UT 84121-3757

Phone

(385) 215-9985

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David PattersonNPI 1841649167

Title

Owner

Phone

(385) 215-9985

Specialties & licenses 1

Addresses

Tax ID family

Goal Pediatric Orthotics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goal Pediatric Orthotics LLC

  • Customized Equipment (DME)
  • Pleasant Grove, UT
  • NPI 1699304089
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Patterson, CO

  • Orthotist
  • Spring, TX
  • NPI 1841649167
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1568223543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E 1000 S STE D",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623694",
            "telephone_number": "385-215-9985",
            "fax_number": "877-225-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR STE 100",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213757",
            "telephone_number": "385-215-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAL PEDIATRIC ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-215-9985"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Giger
• Josie N Giles
• Rachel Jeanne Gitlin, SSW
• Gisele Glaittli
• Keaton Jeffery Glassey
• Rachel Goff
• Cora Goldsmith
• John Carlos Gonzales
• Rachael Marie Gordon
• Sasha Nicole Gordon, MTRS, CTRS

• Prosthetic/Orthotic Supplier in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Prosthetic/Orthotic Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.