Active NPI
Sky R. Goudey P T Inc P S
- Physical Therapist
- Palm Desert, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002582
- Legal business name
- SKY R. GOUDEY P T INC P S
- Practice address
- 72840 Highway 111 Ste a-150
Palm Desert, CA 92260-3324 - Phone
- (858) 614-6332
- Fax
- (858) 614-6332
- NPI assigned
- Sep 13, 2010
- Last updated
- Apr 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sky R Goudey
- Title
- Owner - Supervisor
- Phone
- (360) 533-2252
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002582 | WA | Primary |
Addresses
Primary practice location
72840 Highway 111 Ste a-150
Palm Desert, CA 92260-3324
Mailing address
72840 Highway 111 Ste a-150
Palm Desert, CA 92260-3324
Phone (858) 614-6332
National Provider Directory
National Provider DirectoryLocations
72840 Highway 111
Ste A150
Palm Desert, CA 92260
Phone (858) 614-6332
610 W Market St
Aberdeen, WA 98520
Phone (360) 533-2252
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Palm Desert, CA
- NPI 1609844513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524441600000",
"number": "1659688554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72840 HIGHWAY 111 STE A-150",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922603324",
"telephone_number": "858-614-6332",
"fax_number": "858-614-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72840 HIGHWAY 111 STE A-150",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922603324",
"telephone_number": "858-614-6332",
"fax_number": "858-614-6332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKY R. GOUDEY P T INC P S",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-13",
"last_updated": "2018-04-23",
"status": "A",
"authorized_official_last_name": "GOUDEY",
"authorized_official_first_name": "SKY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER - SUPERVISOR",
"authorized_official_telephone_number": "360-533-2252"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.