Active NPI
Shane E Goss, PT
- Physical Therapist
- Morenci, AZ
National Provider Identifier
1861458077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7043
- Practice address
- 401 Burro Aly
Morenci, AZ 85540-9647 - Phone
- (928) 865-7567
- Fax
- (928) 865-9186
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- 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 | 7043 | AZ | Primary |
Addresses
Primary practice location
401 Burro Aly
Morenci, AZ 85540-9647
Mailing address
PO Box 218
Morenci, AZ 85540-0218
Phone (928) 865-7567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051123000664 | AZ | Practitioner - Physical Therapist in Private Practice | 2365462074 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gila Health Resources
Practice addresses (Care Compare)
401 Burro Aly
Morenci, AZ 85540-9647
Phone (928) 865-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7043 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila Health Resources | Current | Accepting new patients |
Locations
401 Burro Aly
Morenci, AZ 85540
Phone (928) 865-7500
Interoperability endpoints
- shane.goss.1@33093.direct.athenahealth.com
Organizations & group practices 1
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": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1861458077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "MORENCI",
"state": "AZ",
"postal_code": "855400218",
"telephone_number": "928-865-7567",
"fax_number": "928-865-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BURRO ALY",
"city": "MORENCI",
"state": "AZ",
"postal_code": "855409647",
"telephone_number": "928-865-7567",
"fax_number": "928-865-9186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSS",
"first_name": "SHANE",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morenci, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.