Active NPI
McKaleigh B Goodale, PT
- Physical Therapist
- Sarasota, FL
National Provider Identifier
1801406400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36086
- Practice address
- 2970 University Pkwy Ste 105
Sarasota, FL 34243-2401 - Phone
- (941) 360-1988
- Fax
- (941) 360-1998
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT36086 | FL | Primary |
Addresses
Primary practice location
2970 University Pkwy Ste 105
Sarasota, FL 34243-2401
Mailing address
15208 17TH Ave E
Bradenton, FL 34212-8105
Phone (941) 780-5349
Other practice location 1
5968 Clark Center Ave
Sarasota, FL 34238-2715
Phone (941) 922-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Univ of Central Florida, College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2970 University Pkwy
Suite 105
Sarasota, FL 34243-2401
Phone 9413601988107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1801406400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15208 17TH AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342128105",
"telephone_number": "941-780-5349",
"fax_number": "941-360-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 UNIVERSITY PKWY STE 105",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432401",
"telephone_number": "941-360-1988",
"fax_number": "941-360-1998"
}
],
"practiceLocations": [
{
"address_1": "5968 Clark Center Ave",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342382715",
"country_code": "US",
"telephone_number": "941-922-8200",
"fax_number": "941-343-9402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODALE",
"first_name": "MCKALEIGH",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.