Individual provider Active NPI

Joy Denise Gould, P.T.

  • Physical Therapist
  • Lake Zurich, IL
National Provider Identifier
1639189301
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-009130 Issued in IL
Practice address
45 S Old Rand Rd
B
Lake Zurich, IL 60047-3131
Phone
(847) 550-1818
Fax
(847) 550-6465
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 070-009130 IL Primary

Addresses

Primary practice location

45 S Old Rand Rd
B
Lake Zurich, IL 60047-3131

Mailing address

45 S Old Rand Rd
B
Lake Zurich, IL 60047-3131
Phone (847) 550-1818

Other identifiers 1

IdentifierTypeStateIssuer
049-23122OtherILBLUE CROSS BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100707000284 IL Practitioner - Physical Therapist in Private Practice 6507997608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Temple University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Motion Physical Therapy and Spine Center PCGroup PAC ID 5395723811, 2 clinicians

Practice addresses (Care Compare)

2900 N US Hwy 12
Suite J
Spring Grove, IL 60081-8322
Phone (815) 675-0699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-009130ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
My Absolute Body Inc CurrentSince Dec 23, 2020 Accepting new patients
Absolute Medical & Diagnostic Center, SC CurrentSince Dec 23, 2020 Accepting new patients
Back in Motion Physical Therapy & Spine Center PC Physical Therapist CurrentSince Apr 29, 2019 Accepting new patients
Chiropractic Centre of Highland Park, Inc Physical Therapist PastSince Feb 15, 2006 Accepting new patients
Natural Healing of Wauconda Past Accepting new patients

Locations

1655 N Arlington Heights Rd
Ste 101W
Arlington Heights, IL 60004
Phone (847) 305-3610

2900 N US Highway 12
Ste J
Spring Grove, IL 60081
Phone (815) 675-0699

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639189301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S OLD RAND RD",
            "address_2": "B",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473131",
            "telephone_number": "847-550-1818",
            "fax_number": "847-550-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S OLD RAND RD",
            "address_2": "B",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473131",
            "telephone_number": "847-550-1818",
            "fax_number": "847-550-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "JOY",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-009130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "049-23122",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.