Individual provider Active NPI

Jasmin E Sandridge Good, DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1588960645
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH Issued in AL
Practice address
2004 Max Luther Dr NW
Huntsville, AL 35810-3800
Phone
(256) 852-9290
Fax
(256) 852-1141
NPI assigned
Feb 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH AL Primary

Addresses

Primary practice location

2004 Max Luther Dr NW
Huntsville, AL 35810-3800

Mailing address

2004 Max Luther Dr NW
Huntsville, AL 35810-3800
Phone (256) 852-9290

Other names 1

  • Jasmin Good Professional name

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

LicenseStateTypeSpecialty
PTHALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nesin Therapy Services, P.C. PastSince Jul 12, 2006 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1588960645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 MAX LUTHER DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103800",
            "telephone_number": "256-852-9290",
            "fax_number": "256-852-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 MAX LUTHER DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103800",
            "telephone_number": "256-852-9290",
            "fax_number": "256-852-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRIDGE GOOD",
        "first_name": "JASMIN",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMIN",
            "last_name": "GOOD",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.