Zachary Goodwiler, DPT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

544 Union Ave
Grants Pass, OR 97527-5544

Phone

(541) 592-6580

NPI assigned

Jul 14, 2015

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1699159103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 UNION AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275544",
            "telephone_number": "541-592-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWILER",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Florence Goldberg, LPC
• Linda Gomez, LMT
• Jessica Marie Gonzales
• Leticia Lorena Gonzales
• Lynette Ann Gonzalez, QMHA
• James Goodwin
• Neeka Goodwin
• Doreen Gordon, FNP
• Carol Doris Gorton, RN, BSN
• Joey Lynne Gott

• Student in an Organized Health Care Education/Training Program in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.