Amanda Goelz, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28470 Issued in FL

Practice address

1155 Malabar Rd NE
Palm Bay, FL 32907-3245

Phone

(321) 409-5777

NPI assigned

Aug 22, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (2 of 3)

Networks

• Freedom Health HMO Network

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.

• Goelz Enterprises

  • Physical Therapist
  • Palm Bay, FL
  • NPI 1326655275

  FL, Physical Therapist

  Medicare reassignment NPD Authorized official
• Coastal Occupational Therapy, LLC

  • Occupational Therapist
  • Indialantic, FL
  • NPI 1669004362

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1710311014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 ATHENS DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071152",
            "telephone_number": "321-432-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MALABAR RD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073245",
            "telephone_number": "321-409-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELZ",
        "first_name": "AMANDA",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenville Pines II Assisted Living Facility LLC
• Global Link Consulting Services LLC Dba Loving Hands Home Living
• Glomar Medical Inc.
• Jeanette Marie Gluck, PA-C
• Goelz Enterprises
• Valarie Golombeski, LPC-ASSOCIATE
• Mayte Gomez Sosa, OTR
• Nayra Liseth Gomez-Pena, OCCUPATIONAL THERAPY
• Alejandra Gonzalez Ferguson, DMD
• Fernando Andres Gonzalez Gonzalez

• All providers in Palm Bay, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; 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.

Verify at the official NPI Registry.