Krista L Gooding, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.017546 Issued in IL

Practice address

1525 Johnson Rd
Granite City, IL 62040-3831

Phone

(618) 452-1986

Fax

(618) 452-6814

NPI assigned

Sep 14, 2020

Last updated

Sep 14, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

King Spinal and Sports Rehabilitation LTDGroup PAC ID 2466461439, 3 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.

• King Spinal & Sports Rehabilitation, LTD.

  • Physical Therapist
  • Granite City, IL
  • NPI 1427157593
  Medicare reassignment Care Compare group NPD
• Interventional Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Alton, IL
  • NPI 1225522063
  Medicare reassignment NPD
• Interventional Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Maryville, IL
  • NPI 1568078087
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1841805058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620401343",
            "telephone_number": "618-452-1986",
            "fax_number": "618-452-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 JOHNSON RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403831",
            "telephone_number": "618-452-1986",
            "fax_number": "618-452-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "KRISTA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gitersonke Foot Clinic, PC
• Alan Richard Gitersonke, DPM
• Glorious Beginnings Doula Services
• Erin Marie Goebel, RN PHRN
• Good Samaritan House of Granite City, Inc
• Granite City Chiropractic LLC
• Granite City Clinic Corp (Granite City Anesthesia)
• Granite City Clinic Corp
• Granite City Emergency Physicians LLC
• Granite City Eye Care, Inc. (Pearle Vision Center)

• Physical Therapist in Granite City, IL
• Providers in Granite City, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.