Active NPI
Breanna Godfrey, PT, DPT
- Physical Therapist
- Columbus, OH
National Provider Identifier
1891106316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014734
- Practice address
- 720 E Broad St
Columbus, OH 43215-3988 - Phone
- (614) 224-1090
- NPI assigned
- May 19, 2014
- 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 Therapist | 225100000X | 014734 | OH | Primary |
Addresses
Primary practice location
720 E Broad St
Columbus, OH 43215-3988
Mailing address
5695 Rockefeller Center Blvd
Dublin, OH 43016-7134
Phone (440) 567-8540
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 |
|---|---|---|---|
| 014734 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1891106316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5695 ROCKEFELLER CENTER BLVD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430167134",
"telephone_number": "440-567-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153988",
"telephone_number": "614-224-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "BREANNA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.