Active NPI
Deanna Lindsley Goode, PT
- Physical Therapist
- Canton, TX
National Provider Identifier
1689828592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1086411
- Practice address
- 921 W Dallas St
Canton, TX 75103-1009 - Phone
- (903) 567-5579
- NPI assigned
- Nov 6, 2008
- Last updated
- Nov 6, 2008
- 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 | 1086411 | TX | Primary |
Addresses
Primary practice location
921 W Dallas St
Canton, TX 75103-1009
Mailing address
5437 FM 3227
Canton, TX 75103
Phone (903) 848-8033
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1086411 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1689828592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5437 FM 3227",
"city": "CANTON",
"state": "TX",
"postal_code": "75103",
"telephone_number": "903-848-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 W DALLAS ST",
"city": "CANTON",
"state": "TX",
"postal_code": "751031009",
"telephone_number": "903-567-5579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "DEANNA",
"middle_name": "LINDSLEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1086411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.