Joanne A Goluch, P.T. – Pediatric Physical Therapist

Key facts

NPI: 1710100730
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Physical Therapist 2251P0200X
License: PT2620 (AR)
Practice address: 403 W Maple Ave
Springdale, AR 72764-5333
Phone: (479) 253-1815
NPI assigned: Apr 10, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Common Sense Therapy Physical Therapy Clinic/Center · Eureka Springs, AR · NPI 1134596380

NPD (past)
Spine and Sports Therapy LLC Physical Therapist · Lowell, AR · NPI 1730454935

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
PT2620	AR	MD	Pediatric Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Spine and Sports Therapy LLC		Past since Nov 7, 2023	Accepting new patients
Common Sense Therapy		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Physical Therapist	2251P0200X	PT2620	AR	Yes

Addresses

Primary practice location

403 W Maple Ave
Springdale, AR 72764-5333

Mailing address

266 County Road 3027
Eureka Springs, AR 72632-9721
Phone (479) 253-1815

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710100730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 COUNTY ROAD 3027",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329721",
            "telephone_number": "479-253-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W MAPLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645333",
            "telephone_number": "479-253-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUCH",
        "first_name": "JOANNE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "PT2620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

All providers in Springdale, AR · Pediatric Physical Therapist in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.