Sky R. Goudey P T Inc P S

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002582 Issued in WA

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Locations

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": []
}

• Chanel Singsavaddy
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• Kimberly Kay Skeens, MFT
• Veronica Slaughter, D.C.
• Madison Slayden
• Christina Elizabeth Sloan, P.A.
• Patricia Claiborne Slough, P.T.
• Sukhsanjam Kaur Smagh, CHW

• Physical Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Physical Therapist in California

• 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.

Verify at the official NPI Registry.