Kerry Marie Goff, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

012734 Issued in NY

Practice address

301 W 108TH St
New York, NY 10025-2758

Phone

(718) 377-5000

Fax

(718) 377-5002

NPI assigned

Apr 22, 2021

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1730761511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 108TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252758",
            "telephone_number": "718-377-5000",
            "fax_number": "718-377-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 108TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252758",
            "telephone_number": "718-377-5000",
            "fax_number": "718-377-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "KERRY",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "012734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Goetz, MD
• Lauren Goetz
• Maria Rose Goetz, PA-C
• Nicole Goetz, N.P.
• Donald Charles Goff, MD
• Susan Florence Goff, L.C.S.W.
• Gerold Goffe, MD
• Yossef Goffer, MD, PHD
• Elia Teresa Goffi
• Ana Leigh Goffin, OTR

• Physical Therapy Assistant in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.