Individual provider Active NPI

Kathleen Mary Fox Goode, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1780612002
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020800-1 Issued in NY
Practice address
12 E 46TH St FL 8
Suite 2
New York, NY 10017-2418
Phone
(212) 499-0848
Fax
(212) 499-0753
NPI assigned
Jun 28, 2006
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 020800-1 NY Primary

Addresses

Primary practice location

12 E 46TH St FL 8
Suite 2
New York, NY 10017-2418

Mailing address

12 E 46TH St # 8FL
New York, NY 10017-2418
Phone (212) 499-0876

Other identifiers 3

IdentifierTypeStateIssuer
P3185498OtherNYOXFORD
1779725OtherNYUNITED HEALTHCARE
N46882OtherNYHEALTH NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000629 NY Practitioner - Physical Therapist in Private Practice 0749274355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

815 2ND Ave
RM 701
New York, NY 10017-4500
Phone (212) 499-0848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020800-1NYMDPsychologist
020800NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H&D Physical Therapy & Occupational Therapy PLLC Physical Therapist CurrentSince Nov 1, 2013 Accepting new patients
H&D Dynamic Physical & Occupational Therapy, PLLC Physical Therapist CurrentSince Jan 2, 2012 Accepting new patients
H&D Physical Therapy & Occupational Therapy PLLC Physical Therapist Past Accepting new patients

Locations

12 E 46th St
Fl 8
New York, NY 10017
Phone (212) 988-2501

815 2nd Ave
Rm 701
New York, NY 10017
Phone (646) 656-0156

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1780612002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 46TH ST # 8FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172418",
            "telephone_number": "212-499-0876",
            "fax_number": "212-953-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 46TH ST FL 8",
            "address_2": "SUITE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172418",
            "telephone_number": "212-499-0848",
            "fax_number": "212-499-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX GOODE",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020800-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3185498",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1779725",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "N46882",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.