Individual provider Active NPI

Thomas Goulding, PT, OCS

  • Orthopedic Physical Therapist
  • Sierra Vista, AZ
National Provider Identifier
1871975714
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5521 Issued in AZ
Practice address
3952 Via del Trinidad
Sierra Vista, AZ 85650-8794
Phone
(520) 400-3779
NPI assigned
Jun 28, 2015
Last updated
Jun 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5521 AZ Primary

Addresses

Primary practice location

3952 Via del Trinidad
Sierra Vista, AZ 85650-8794

Mailing address

3952 Via del Trinidad
Sierra Vista, AZ 85650-8794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109000272 AZ Practitioner - Physical Therapist in Private Practice 8224348073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apexnetwork Sierra Vista PLLCGroup PAC ID 7012227275, 3 clinicians

Practice addresses (Care Compare)

2151 S Hwy 92
Suite 106
Sierra Vista, AZ 85635-5283
Phone (520) 335-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5521AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apexnetwork Sierra Vista, PLLC Physical Therapist CurrentSince Sep 3, 2015 Accepting new patients

Locations

569 W 4th St
Benson, AZ 85602
Phone (520) 586-3663

2151 S Highway 92
Ste 106
Sierra Vista, AZ 85635
Phone (520) 335-1615

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

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": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1871975714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952 VIA DEL TRINIDAD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856508794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3952 VIA DEL TRINIDAD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856508794",
            "telephone_number": "520-400-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDING",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-28",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "5521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.

Verify at the official NPI Registry.