Active NPI
Justin R Gooder, DPT
- Physical Therapist
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31741
- 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
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 | 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
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
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 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31741 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | 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
- 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.