Individual provider Active NPI

Lois Louise Goode, MS, PT, OCS, ATC

  • Specialist
  • Whiteriver, AZ
National Provider Identifier
1669511101
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
200 Hospital Drive
Whiteriver Service Unit
Whiteriver, AZ 85941-0860
Phone
(928) 338-3610
NPI assigned
Feb 5, 2007
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

200 Hospital Drive
Whiteriver Service Unit
Whiteriver, AZ 85941-0860

Mailing address

PO Box 1420
Show Low, AZ 85902-1420
Phone (928) 536-2357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826000104 AZ Practitioner - Physical Therapist in Private Practice 0446217335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Mountain Physical Therapy LTDGroup PAC ID 0446142111, 15 clinicians

Practice addresses (Care Compare)

1200 W White Mountain Blvd
Suite 515
Lakeside, AZ 85929-6532
Phone (928) 532-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
White Mountain Physical Therapy LTD Physical Therapist CurrentSince Feb 12, 2013 Accepting new patients

Locations

4830 Highway 260
Ste 105
Lakeside, AZ 85929
Phone (928) 532-1221

29 W McNeil
Show Low, AZ 85901
Phone (928) 537-8196

420 S Main St
Snowflake, AZ 85937
Phone (928) 536-2357

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1669511101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1420",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859021420",
            "telephone_number": "928-536-2357",
            "fax_number": "928-536-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DRIVE",
            "address_2": "WHITERIVER SERVICE UNIT",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859410860",
            "telephone_number": "928-338-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "LOIS",
        "middle_name": "LOUISE",
        "credential": "MS, PT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteriver, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.