Dara Green Goodson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19541 Issued in NC

Practice address

1302 Old Cox Rd
Asheboro, NC 27205-9466

Phone

(336) 629-7811

NPI assigned

Jul 14, 2020

Last updated

Mar 14, 2024By the provider in NPPES

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

Other names 1

• Dara Elzena Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Durham, NC
  • NPI 1104823400
  NPD

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1730707928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 MCCONNELL RD APT 2H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059780",
            "telephone_number": "704-770-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 OLD COX RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272059466",
            "telephone_number": "336-629-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "DARA",
        "middle_name": "GREEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARA",
            "last_name": "GREEN",
            "middle_name": "ELZENA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lashanta Regena Glover, M.A., LCAS
• Amber Desiree Goff, LPN
• Karen Craven Goins, FNP-BC
• Goldston's Substance Abuse Program,Inc
• Liliana Gonzalez Peralta, MSW LCSWA
• Thomas W. Graham, M.D.
• Thomas W Green III, MD
• Greensboro Pathology, LLC
• James Forrest Griffin
• Greg Alan Grisso, MD

• Physical Therapist in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.