Georgia Goodrich, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA2813 Issued in ME

Practice address

74 Smith Rd
Hermon, ME 04401-0725

Phone

(207) 469-8704

NPI assigned

Oct 23, 2006

Last updated

Aug 8, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1861575847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SMITH RD",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010725",
            "telephone_number": "207-469-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 SMITH RD",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010725",
            "telephone_number": "207-469-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "GEORGIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA2813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Gauthier, MA, CCC-SLP
• Gba Counseling Services PLLC
• Elizabeth M Getchell, PA-C
• Marcia Merceille Gilbert, MS, CCC/A
• Kaitlin Jean Glidden, OTR/L
• Samantha Mae Goodwin, OTA
• Samantha Jamie Gray, DDS
• Sheridan Louise Hanlon, COTA/L
• Riley Dana-Marie Hanson
• Lacey Henderson

• Physical Therapy Assistant in Hermon, ME
• Providers in Hermon, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.