Active NPI
Tonia Goddard, PTA
- Physical Therapy Assistant
- Bennington, VT
National Provider Identifier
1871950576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 041.0000543
- Practice address
- 325 North St
Bennington, VT 05201-1937 - Phone
- (802) 442-6353
- NPI assigned
- Jan 26, 2016
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 041.0000543 | VT | Primary |
Addresses
Primary practice location
325 North St
Bennington, VT 05201-1937
Mailing address
4384 State Route 29
PO Box 114
Salem, NY 12865-3620
Phone (518) 796-5580
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.0000543 | VT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1871950576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4384 STATE ROUTE 29",
"address_2": "PO BOX 114",
"city": "SALEM",
"state": "NY",
"postal_code": "128653620",
"telephone_number": "518-796-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 NORTH ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052011937",
"telephone_number": "802-442-6353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODDARD",
"first_name": "TONIA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VT",
"license": "041.0000543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.