Erica Lynn Goss, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2122837 Issued in TX

Practice address

4400 Walnut St
Greenville, TX 75401-5586

Phone

(872) 990-3455

NPI assigned

Sep 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1891278685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 KAYWAY DR",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026410",
            "telephone_number": "903-522-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 WALNUT ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015586",
            "telephone_number": "872-990-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2122837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083673818",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Nathaly Gonzales
• Goodluck Homestead Enterprises LP
• Amanda Goodwin, COTA
• Lauren Gordon, LCSW
• Goss Chiropractic & Wellness PLLC
• Mark G Goss, MD
• Thomas J. Goss, DC
• Gracious Community Homes Inc
• Camille Alicia Graham, MD
• Deanna Grandstaff, PA

• Physical Medicine & Rehabilitation Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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.