John W Goodbody, PT DC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0121751 Issued in NY

Practice address

481 Penbrooke Dr
Suite 6
Penfield, NY 14526-2044

Phone

(585) 388-1110

Fax

(585) 388-1124

NPI assigned

Nov 1, 2006

Sex

Male

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 NY2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

New York Chiropractic College, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Goodbody Physical Therapy & Chiropractic PLLC

  • Physical Therapy Clinic/Center
  • Penfield, NY
  • NPI 1528386067
  NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1821175886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR",
            "address_2": "SUITE 6",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-388-1110",
            "fax_number": "585-388-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR",
            "address_2": "SUITE 6",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-388-1110",
            "fax_number": "585-388-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODBODY",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PT DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X0078051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0121751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Elizabeth Giarrizzo, LCSW-R, ACSW, OSW-C
• Laura E Gift
• Ellie Gillam, LMSW
• Gloria Nichols DDS PC
• Goodbody Physical Therapy & Chiropractic PLLC
• Maureen Gordon
• Shara Marie Gosper, PHARMD
• Jessica Caitlynn Greean
• Keith Stuart Greer, L.C.S.W.
• Emily Elizabeth Grichen, M.A., CCC-SLP

• Physical Therapist in Penfield, NY
• Providers in Penfield, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.