Goddard Orthopedic and Sports Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1101657 Issued in TX

Legal business name

GODDARD ORTHOPEDIC AND SPORTS THERAPY INC

Practice address

1199 S Belt Line Rd
Suite 140
Coppell, TX 75019-4666

Phone

(972) 745-9060

Fax

(972) 745-9069

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Amy Louise Goddard, PT CSCS

Title

President

Phone

(972) 745-9060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871663310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 S BELT LINE RD",
            "address_2": "SUITE 140",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194666",
            "telephone_number": "972-745-9060",
            "fax_number": "972-745-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 S BELT LINE RD",
            "address_2": "SUITE 140",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194666",
            "telephone_number": "972-745-9060",
            "fax_number": "972-745-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDARD ORTHOPEDIC AND SPORTS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-745-9060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1101657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deeborr Mbissine Gibune, D.C
• Valeria Gil, OTR/L
• Janice Gladney, OTR/L, BCTMB
• Katherine Glassey
• Global Pain Care Associates, LLC
• Amy Louise Goddard, P.T., C.S.C.S
• Golden Oak Surgical Center LLC
• Laura Golightly, D.O.
• Antonio Gomez, PHARMD
• Solmari Gonzalez Rivera, DC

• Physical Therapist in Coppell, TX
• Providers in Coppell, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.