Active NPI
Thomas Goulding, PT, OCS
- Orthopedic Physical Therapist
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5521
- Practice address
- 3952 Via del Trinidad
Sierra Vista, AZ 85650-8794 - Phone
- (520) 400-3779
- NPI assigned
- Jun 28, 2015
- Last updated
- Jun 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5521 | AZ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apexnetwork Sierra Vista, PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Sierra Vista, AZ
- NPI 1083098677
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.