Marguerite Godfrey

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004939 Issued in CT

Practice address

475 High St
Mystic, CT 06355-1707

Phone

(860) 536-6067

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By 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

Electronic endpoints 1

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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1730779927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HIGH ST",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HIGH ST",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551707",
            "telephone_number": "860-536-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "MARGUERITE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RydersHealth",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct messaging",
            "address_1": "475 High St",
            "city": "Mystic",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063551707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Elyse Geyer, MSPT
• Jeanne M Gilbert, P.T.
• Robert E. Gilbert
• Victoria Gilliard
• Glow Up Therapy
• Katherine Ann Golan, LPC
• Groton Board of Education
• Grounded Therapy & Coaching
• Nathan Christopher Hahn, BCBA, LBA
• Karen Lucille Hanscom, PHD

• Physical Therapist in Mystic, CT
• Providers in Mystic, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.