Active NPI
Raechel Go, PT
- Physical Therapist
- Newburgh, IN
National Provider Identifier
1639495138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009256A
- Practice address
- 4255 Medwel Dr
Newburgh, IN 47630-2528 - Phone
- (812) 853-2993
- Fax
- (812) 853-8847
- NPI assigned
- Apr 9, 2010
- 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 | 05009256A | IN | Primary |
Addresses
Primary practice location
4255 Medwel Dr
Newburgh, IN 47630-2528
Mailing address
1305 Huntspoint Way
Henderson, KY 42420-2535
Phone (270) 315-6471
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009256A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1639495138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 HUNTSPOINT WAY",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202535",
"telephone_number": "270-315-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4255 MEDWEL DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476302528",
"telephone_number": "812-853-2993",
"fax_number": "812-853-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GO",
"first_name": "RAECHEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009256A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.