Denice Goodwill, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5270 Issued in NC

Practice address

3504 Flint St Apt D225
Greensboro, NC 27405-3298

Phone

(336) 545-4157

Fax

(336) 545-4587

NPI assigned

Feb 21, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1720403108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 CANTWELL CT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659221",
            "telephone_number": "336-886-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 FLINT ST APT D225",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053298",
            "telephone_number": "336-545-4157",
            "fax_number": "336-545-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWILL",
        "first_name": "DENICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "5270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Goodpasture, FNP
• Callie Goodrich, MMS, PA-C
• Robert G Goodrich, M.D.
• Emma Goodson
• Heather Goodson
• Joseph Donati Goodwin, DO
• Carolyn Doughty Gordan, PNP
• Patricia Lynn Gordon-Willis, D.M.D
• Christopher Alan Gordon, R.PH.
• Dystine Tychena Gordon

• Physical Therapy Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.