Lee V Goetz, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

0435 Issued in SD

Practice address

6 N Roosevelt St
Aberdeen, SD 57401-3348

Phone

(605) 725-9900

Fax

(605) 725-9902

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Orthopedic Physical Therapy Center LTD

  • Physical Therapist
  • Aberdeen, SD
  • NPI 1992715197

  SD

  Medicare reassignment Care Compare group NPD Authorized official

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Physical Therapy Center LTD 5 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1760546212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N ROOSEVELT ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013348",
            "telephone_number": "605-725-9900",
            "fax_number": "605-725-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N ROOSEVELT ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013348",
            "telephone_number": "605-725-9900",
            "fax_number": "605-725-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "LEE",
        "middle_name": "V",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SD",
            "license": "0435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "0435",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE",
            "identifier": "5830333",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4994784",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5830333",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Joseph Gnesda, D.O.
• Cynthia A Goehring, LPC-MH, NCC, QMHP
• Bobby Goeman, CPNP
• Lisa Lynn Goette, PHARM D
• Kendall R. Goetz, R.PH.
• Percy E Golson, P.A.
• Chelsea R Gomer, CNP
• Kelly J Gorman
• Andrew Robert Gough, D.O.
• Katherine Goulding, CNP

• All providers in Aberdeen, SD
• Specialist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.