Goal Pediatric Orthotics LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GOAL PEDIATRIC ORTHOTICS LLC

Practice address

471 E 1000 S Ste D
Pleasant Grove, UT 84062-3694

Phone

(385) 215-9985

Fax

(877) 225-9880

NPI assigned

Apr 7, 2020

Organization subpart

No

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

Authorized official

Name

David Patterson, CONPI 1841649167

Title

Owner

Phone

(385) 215-9985

Specialties & licenses 1

Addresses

Tax ID family

Goal Pediatric Orthotics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goal Pediatric Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Cottonwood Heights, UT
  • NPI 1568223543
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Patterson, CO

  • Orthotist
  • Spring, TX
  • NPI 1841649167
  NPD Authorized official

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1699304089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E 1000 S STE D",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623694",
            "telephone_number": "385-215-9985",
            "fax_number": "877-225-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E 1000 S STE D",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623694",
            "telephone_number": "385-215-9985",
            "fax_number": "877-225-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 W 1630 N",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840578615",
            "country_code": "US",
            "telephone_number": "385-215-9985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOAL PEDIATRIC ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-215-9985",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina C Gillespie
• Rachelle Gleason, LCMHC
• Alison Ahern Glenn, ACHMA
• Taylor Marie Glenn
• GN Giles Group LLC (Giles & Associates Family Psychology)
• Ashley Brianne Gonzalez, CNM
• Kasi Michelle Good, LCSW
• Airen Goodman
• McRae Goodman
• Carol Ann Graff, NP

• Customized Equipment (DME) in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Customized Equipment (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.