Jacqueline Virginia Gooden, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207484 Issued in VA

Practice address

20311 Timberlake Rd
Ste B
Lynchburg, VA 24502-7203

Phone

(434) 845-9053

Fax

(434) 528-2788

NPI assigned

Aug 1, 2012

Last updated

Nov 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabilitation Associates of Central Virginia Limited PartnershipGroup PAC ID 6204115744, 54 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.57 of 100Reported as group

Quality

98.54

Improvement activities

40

Cost

74.59

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehabilitation Associates of Central Virginia Limited Partnership

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1144770835
  Medicare reassignment Care Compare group NPD
• Rehabilitation Associates of Central Virginia Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Lynchburg, VA
  • NPI 1851843718

  Physical Therapist

  NPD
• Rehabilitation Associates of Central Virginia, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lynchburg, VA
  • NPI 1982890141
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1619223286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20347 TIMBERLAKE RD",
            "address_2": "STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027352",
            "telephone_number": "434-845-9053",
            "fax_number": "434-528-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 TIMBERLAKE RD",
            "address_2": "STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027203",
            "telephone_number": "434-845-9053",
            "fax_number": "434-528-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "JACQUELINE",
        "middle_name": "VIRGINIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Gondi
• Caesar Ricardo Gonzales II, M.D.
• Nykia Gonzales
• Leeann B Gonzalez, DPT
• Kristin Marie Good, R.T.(CT)
• Georgeann Gordon
• William Gorman
• Sarah Gosnell
• Faith Gould, CSAC
• Bartlett L Gowen, COTA

• Physical Therapist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.