Individual provider Active NPI

Anna Musselman Goodbar, MPT

  • Physical Therapist
  • Lexington, VA
National Provider Identifier
1871593988
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203721 Issued in VA
Practice address
25 Crossing LN
Suite 1
Lexington, VA 24450-3724
Phone
(540) 463-5888
Fax
(540) 463-4406
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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 2305203721 VA Primary

Addresses

Primary practice location

25 Crossing LN
Suite 1
Lexington, VA 24450-3724

Mailing address

25 Crossing LN
Suite 1
Lexington, VA 24450-3724
Phone (540) 463-5888

Other identifiers 1

IdentifierTypeStateIssuer
266965OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305203721VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Physical Therapy PC Physical Therapist PastSince Oct 1, 2002 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1871593988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSING LN",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503724",
            "telephone_number": "540-463-5888",
            "fax_number": "540-463-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CROSSING LN",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503724",
            "telephone_number": "540-463-5888",
            "fax_number": "540-463-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODBAR",
        "first_name": "ANNA",
        "middle_name": "MUSSELMAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "266965",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.