Active NPI
Kathleen A Goeckner, DPT
- Physical Therapist
- Spokane, WA
National Provider Identifier
1588959365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60222498
- Practice address
- 505 E 3Rd Ave Ste B
Spokane, WA 99202-1426 - Phone
- (509) 838-2531
- NPI assigned
- Jun 9, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PT60222498 | WA | Primary |
Addresses
Primary practice location
505 E 3Rd Ave Ste B
Spokane, WA 99202-1426
Mailing address
7221 E 11TH Ave
Spokane Valley, WA 99212-0171
Phone (208) 659-0581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT60222498 | Other | WA | WASHINGTON PT LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT60222498 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1588959365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7221 E 11TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992120171",
"telephone_number": "208-659-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E 3RD AVE STE B",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021426",
"telephone_number": "509-838-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOECKNER",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60222498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON PT LICENSE",
"identifier": "PT60222498",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.