Brody Wayne Goode, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4318 Issued in AR

Practice address

1515 N Center St Ste 5
Lonoke, AR 72086-2100

Phone

(501) 676-5540

Fax

(501) 676-6499

NPI assigned

Jul 27, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Arkansas Health & Rehab LLC

  dba Lonoke Physical Therapy

  • Physical Therapist
  • Lonoke, AR
  • NPI 1679140651
  NPD

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689198046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N CENTER ST STE 5",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720862100",
            "telephone_number": "501-676-5540",
            "fax_number": "501-676-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N CENTER ST STE 5",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720862100",
            "telephone_number": "501-676-5540",
            "fax_number": "501-676-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "BRODY",
        "middle_name": "WAYNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefani R Ford, PA-C
• Catherine Forney, BA-MHPP
• Alyssa M Frisby, MS, RD, LD
• Dusty Marie Furr
• Janet Renea Godfrey, B.S., MHPP
• Renee M. Grady, M.S., CCC-SLP
• Kimberly J Green-Kelley, RBT
• Gy Manor Nursing LLC (Golden Years Manor)
• Gyman LLC (Golden Years Manor)
• Elizabeth Hall, PT,DPT

• Physical Therapist in Lonoke, AR
• Providers in Lonoke, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.