Goal Physical Therapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GOAL PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

128 E Dudley St Ste F
Maumee, OH 43537-3376

Phone

(419) 544-2658

NPI assigned

Sep 9, 2020

Last updated

Nov 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Dallas-Kish, PT

Title

Owner/ Physical Therapist

Phone

(419) 544-2658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1710592639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E DUDLEY ST STE F",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E DUDLEY ST STE F",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373376",
            "telephone_number": "419-544-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAL PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2022-11-16",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "DALLAS-KISH",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "419-544-2658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Leigh Glenn, M.A. CCC-SLP
• Michael Paul Glinka, DDS
• Keeley Glonek
• GLT Medical Services LTD
• Thomas Earl Gluth
• Lauren Godlewski
• Rebecca Gofman
• Chit-Guan Goh, MD
• Erica J Gomez, CDCA
• Kristine M Gonzales, MSW, LSW

• Physical Therapy Clinic/Center in Maumee, OH
• Providers in Maumee, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.