Individual provider Active NPI

Justin R Gooder, DPT

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1669069738
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31741 Issued in AZ
Practice address
3141 S McClintock Dr Ste 2
Tempe, AZ 85282-5682
Phone
(480) 566-8125
Fax
(480) 566-8126
NPI assigned
Dec 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 LPT-31741 AZ Primary

Addresses

Primary practice location

3141 S McClintock Dr Ste 2
Tempe, AZ 85282-5682

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514002000 AZ Practitioner - Physical Therapist in Private Practice 3274942644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

5025 S Gilbert Rd
Suite 105
Chandler, AZ 85249-5712
Phone (480) 386-8000

6070 W Bell Rd
Suite A103
Glendale, AZ 85308-3774
Phone (602) 782-3965

8270 S Houghton Rd
Suite 180
Tucson, AZ 85747-9717
Phone (520) 664-1430

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-31741AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince May 7, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince May 7, 2021 Accepting new patients

Locations

4929 W Ray Rd
Chandler, AZ 85226

5025 S Gilbert Rd
Ste 105
Chandler, AZ 85249
Phone (480) 386-8000

690 S Cooper Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 503-2100

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

3141 S McClintock Dr
Ste 2
Tempe, AZ 85282
Phone (480) 566-8125

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Interoperability endpoints

  • Direct secure messaging: justin.gooder.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1669069738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 S MCCLINTOCK DR STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825682",
            "telephone_number": "480-566-8125",
            "fax_number": "480-566-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODER",
        "first_name": "JUSTIN",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.