Active NPI
Jann W. Goodman, PT
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1831144385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5005
- Practice address
- 844 N. Ellsworth
Mesa, AZ 85207-5114 - Phone
- (480) 380-2810
- Fax
- (480) 380-2861
- NPI assigned
- May 23, 2006
- 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 | 5005 | AZ | Primary |
Addresses
Primary practice location
844 N. Ellsworth
Mesa, AZ 85207-5114
Mailing address
7746 E Boston St
Mesa, AZ 85207
Phone (480) 380-2810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0298870 | Other | AZ | BCBS NUMBER |
| 755308 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9000 E San Victor Dr
Scottsdale, AZ 85258-5051
Phone (623) 299-7784
9050 E Brown Rd
Mesa, AZ 85207-4356
Phone 4802738813775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
110 Horizon Dr
#310
Raleigh, NC 27615
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
Physical Therapist
-
- Physical Therapist
- Chandler, AZ
- NPI 1336770221
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1831144385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7746 E BOSTON ST",
"city": "MESA",
"state": "AZ",
"postal_code": "85207",
"telephone_number": "480-380-2810",
"fax_number": "480-380-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 N. ELLSWORTH",
"city": "MESA",
"state": "AZ",
"postal_code": "852075114",
"telephone_number": "480-380-2810",
"fax_number": "480-380-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "JANN",
"middle_name": "W.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "AZ0298870",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "755308",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.