Joshua Joseph Godwin, PT
Individual provider Active NPI Physical Therapist · Pampa, TX
NPI 1851567390 · NPPES record last updated Dec 8, 2010
Key facts
- NPI
- 1851567390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1173733 (TX)
- Practice address
- 701 N Price Rd
Pampa, TX 79065-5126 - Phone
- (806) 665-7261
- Fax
- (806) 665-0537
- NPI assigned
- May 5, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1173733 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Rehabilitation and Fitness, Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1173733 | TX | Yes |
Addresses
Primary practice location
701 N Price Rd
Pampa, TX 79065-5126
Mailing address
701 North Price Road
Pampa, TX 79065
Phone (806) 665-7261
Other providers in Pampa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.