Individual provider Active NPI

Jacqueline McCleneghen Goetz, DPT

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1841822012
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1327970 Issued in TX
Practice address
7701 Las Colinas RDG Ste 110
Irving, TX 75063-7552
Phone
(214) 574-7848
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1327970 TX Primary

Addresses

Primary practice location

7701 Las Colinas RDG Ste 110
Irving, TX 75063-7552

Mailing address

14501 Montfort Dr Apt 920
Dallas, TX 75254-8555
Phone (214) 558-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131001069 TX Practitioner - Physical Therapist in Private Practice 8022461631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BCT Therapy Management LLCGroup PAC ID 6305202771, 8 clinicians

Practice addresses (Care Compare)

3930 Glade Rd
Suite 124
Colleyville, TX 76034-5932
Phone (817) 886-3783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands LLC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
BCT Therapy Management LLC CurrentSince Dec 25, 2023 Accepting new patients

Locations

3930 Glade Rd
Ste 124
Colleyville, TX 76034
Phone (817) 886-3783

3051 Churchill Dr
Flower Mound, TX 75022
Phone (817) 886-3783

409 N Oak St
Ste 220
Roanoke, TX 76262
Phone (682) 502-4440

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25131/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1841822012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 MONTFORT DR APT 920",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548555",
            "telephone_number": "214-558-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 LAS COLINAS RDG STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637552",
            "telephone_number": "214-574-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "JACQUELINE",
        "middle_name": "MCCLENEGHEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1327970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.