Active NPI
James Goodwin, PTA, CSCS
- Physical Therapist
- Bedford, NH
National Provider Identifier
1669979126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5186
- Practice address
- 82 Palomino LN Ste 501
Bedford, NH 03110-6448 - Phone
- (603) 627-6381
- NPI assigned
- Apr 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1239 | NH | |
| Physical Therapist | 225100000X | 5186 | NH | Primary |
Addresses
Primary practice location
82 Palomino LN Ste 501
Bedford, NH 03110-6448
Mailing address
82 Palomino LN Ste 501
Bedford, NH 03110-6448
Phone (603) 627-6381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1239 | NH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692489600000",
"number": "1669979126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 PALOMINO LN STE 501",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106448",
"telephone_number": "603-627-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 PALOMINO LN STE 501",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106448",
"telephone_number": "603-627-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "JAMES",
"credential": "PTA, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2023-08-20",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NH",
"license": "1239",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "5186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.