Shara Goetz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502000325 Issued in MI

Practice address

5640 N Adrian Hwy
Adrian, MI 49221-8318

Phone

(517) 577-0000

NPI assigned

Oct 16, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1629850722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WALLACE DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761025",
            "telephone_number": "734-652-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 N ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218318",
            "telephone_number": "517-577-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "SHARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502000325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racheal Ann-Marie Gipson
• Richard G Girardi, DO
• Laura Glasgow, MA, AT, ATC,
• Aaron Glovier
• Carrie Goen
• Sheryl I Goldberg, LMSW
• Leah J Gomez
• Hector Rafael Gonzalez
• Lisa Ann Gonzalez, LLMSW
• Samantha Good, QMHS

• Physical Therapy Assistant in Adrian, MI
• Providers in Adrian, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.