Active NPI
Bryan Goos, PT
- Physical Therapist
- Ames, IA
National Provider Identifier
1659660611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004719
- Practice address
- 3815 Stange Rd
Ames, IA 50010-3914 - Phone
- (515) 956-4970
- Fax
- (515) 956-4988
- NPI assigned
- Mar 30, 2011
- Sex
- Male
- 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 | 004719 | IA | Primary |
Addresses
Primary practice location
3815 Stange Rd
Ames, IA 50010-3914
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110622000611 | IA | Practitioner - Physical Therapist in Private Practice | 1153509195 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capital Orthopaedics and Sports Medicine PC
Practice addresses (Care Compare)
12499 University Ave
Suite 210
Clive, IA 50325-8288
Phone (515) 440-2676
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Orthopaedics and Sports Medicine PC | Current | Accepting new patients | |
| Capital Orthopaedics and Sports Medicine LLP | Past | Accepting new patients |
Locations
12499 University Ave
Ste 210
Des Moines, IA 50325
Phone (515) 240-2676
Interoperability endpoints
- https://api.platform.athenahealth.com/19659/brand/1/csg/1/fhir/r4
- bryan.goos.1@19659.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Clive, IA
- NPI 1932432457
IA
-
- Orthopaedic Surgery Physician
- Des Moines, IA
- NPI 1407093008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1659660611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"address_2": "SUITE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "312-640-0329",
"fax_number": "312-640-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 STANGE RD",
"city": "AMES",
"state": "IA",
"postal_code": "500103914",
"telephone_number": "515-956-4970",
"fax_number": "515-956-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOS",
"first_name": "BRYAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-30",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.