Paige Goodman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305215321 Issued in VA

Practice address

4229 Lafayette Center Dr Ste 1250
Chantilly, VA 20151-1266

Phone

(703) 263-2020

Fax

(703) 263-2015

NPI assigned

Dec 17, 2015

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Marymount University, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy LLCGroup PAC ID 8820137656, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Physical Therapy,LLC

  • Orthopedic Physical Therapist
  • Lorton, VA
  • NPI 1487889135

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1811352834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 DELLFORD CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1250",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511266",
            "telephone_number": "703-263-2020",
            "fax_number": "703-263-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215321",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "2751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fizzah Zahir Gocke, D.D.S.
• Theo Marroig Goering
• Amaya Yiqin Golabek
• Mary Elizabeth Goldman
• Deborah Gonzalez, MA, LPC
• Angela S Goodson-Acevedo
• David S Goodwin, M.D.
• Krista Goovaerts, M.A., CCC-SLP
• Michelle Gorden, LPC
• Vijaya Lakshmi Gorle, M.D.

• Physical Therapist in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.