Active NPI
Max Goodhue, DPT
- Physical Therapist
- Carlisle, IA
National Provider Identifier
1699669010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 132257
- Practice address
- 125 N 1St St
Carlisle, IA 50047-7810 - Phone
- (515) 989-0100
- Fax
- (515) 989-0185
- NPI assigned
- Jun 9, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 132257 | IA | Primary |
Addresses
Primary practice location
125 N 1St St
Carlisle, IA 50047-7810
Mailing address
PO Box 461
Nevada, IA 50201-0461
Phone (515) 382-3366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250703003911 | IA | Practitioner - Physical Therapist in Private Practice | 6305350141 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 21St Century Rehab PC
Practice addresses (Care Compare)
125 N 1St St
Carlisle, IA 50047-7810
Phone (515) 989-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132257 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 21St Century Rehab PC | Current | Accepting new patients | |
| 21St Century Rehab, PC | Physical Therapist | Current | Accepting new patients |
| 21St Century Rehab PC | Current | Accepting new patients |
Locations
1003 8th St SW
Ste D
Altoona, IA 50009
Phone (515) 967-4121
125 N 1st St
Carlisle, IA 50047
Phone (515) 989-0100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Altoona, IA
- NPI 1114963154
IA, Physical Therapist
-
- Rehabilitation Clinic/Center
- Indianola, IA
- NPI 1174783583
-
- Rehabilitation Clinic/Center
- Madrid, IA
- NPI 1407016819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1699669010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 461",
"city": "NEVADA",
"state": "IA",
"postal_code": "502010461",
"telephone_number": "515-382-3366",
"fax_number": "515-382-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N 1ST ST",
"city": "CARLISLE",
"state": "IA",
"postal_code": "500477810",
"telephone_number": "515-989-0100",
"fax_number": "515-989-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODHUE",
"first_name": "MAX",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "132257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.