Active NPI
Candice Laraine Goch, MSPT
- Physical Therapist
- Woodstock, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007903
- Practice address
- 3233 S Cherokee LN BLDG 1000
Woodstock, GA 30188-4461 - Phone
- (770) 485-7411
- Fax
- (770) 881-8506
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- 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 | PT007903 | GA | Primary |
Addresses
Primary practice location
3233 S Cherokee LN BLDG 1000
Woodstock, GA 30188-4461
Mailing address
3233 S Cherokee LN BLDG 1000
Woodstock, GA 30188-4461
Phone (770) 485-7411
Other practice location 1
6478 Putnam Ford
Ste. 126
Woodstock, GA 30189
Phone (770) 485-7411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1170 Peachtree St NE
Suite 1600
Atlanta, GA 30309-7674
Phone (570) 854-1632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007903 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transperfect Health Corp | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Women First Rehabilitation | Current | Accepting new patients | |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
Locations
1170 Peachtree St NE
Ste 1600
Atlanta, GA 30309
Phone (570) 854-1632
6478 Putnam Ford Dr
Ste 126
Woodstock, GA 30189
Phone (770) 485-7411
3233 S Cherokee Ln
#1000
Woodstock, GA 30188
Phone (678) 673-3953
1250 Broadway
Fl 32
New York, NY 10001
Phone (212) 290-6447
Organizations & group practices 5
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.
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- NPI 1831801000
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- Physical Therapist
- Suwanee, GA
- NPI 1295412773
-
- Orthopedic Physical Therapist
- Woodstock, GA
- NPI 1225365232
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1669725800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3233 S CHEROKEE LN BLDG 1000",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884461",
"telephone_number": "770-485-7411",
"fax_number": "770-881-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3233 S CHEROKEE LN BLDG 1000",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884461",
"telephone_number": "770-485-7411",
"fax_number": "770-881-8506"
}
],
"practiceLocations": [
{
"address_1": "6478 Putnam Ford",
"address_2": "Ste. 126",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "30189",
"country_code": "US",
"telephone_number": "770-485-7411",
"fax_number": "770-881-8506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOCH",
"first_name": "CANDICE",
"middle_name": "LARAINE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.