Individual provider Active NPI

Patricia J Godsen, PT

  • Physical Therapist
  • Warren, OH
National Provider Identifier
1932408416
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0129111 Issued in OH
Practice address
4451 Mahoning Ave NW Ste a
Warren, OH 44483-1977
Phone
(330) 372-0207
NPI assigned
Mar 23, 2011
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0129111 OH Primary

Addresses

Primary practice location

4451 Mahoning Ave NW Ste a
Warren, OH 44483-1977

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9500
Phone (724) 343-4060

Other practice location 1

7620 Southern Blvd
Ste 3
Boardman, OH 44512-5667
Phone (330) 965-9330

Other practice location 2

7645 Market St Ste 110
Youngstown, OH 44512-6098
Phone (330) 965-9330

Other practice location 3

1098 N Ellsworth Ave
Salem, OH 44460-1536
Phone (234) 567-4687

Other practice location 4

17 E River St Ste A
Newton Falls, OH 44444-1372
Phone (330) 872-7242

Other practice location 5

2860 Canfield Rd
Youngstown, OH 44511-2803
Phone (330) 799-6298

Other practice location 6

225 E State Route 14 Ste B001
Columbiana, OH 44408-8490
Phone (330) 482-3680

Other identifiers 1

IdentifierTypeStateIssuer
3140452MedicaidOH

Other names 1

  • Patricia J Calko Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110414000481 OH Practitioner - Physical Therapist in Private Practice 7315121415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tudor Home Therapies IncGroup PAC ID 1850290644, 18 clinicians

Practice addresses (Care Compare)

17 E River Rd
Suite a
Newton Falls, OH 44425
Phone (330) 872-7242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0129111OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tudor Home Therapies Inc Physical Therapist CurrentSince Mar 21, 2011 Accepting new patients
Tu Dor Home Therapies Inc Physical Therapist Past Accepting new patients
Southwoods Rehabilitation LLC Physical Therapist Past Accepting new patients
Tu Dor Home Therapies Inc Physical Therapist Past Accepting new patients
Tudor Home Therapies Inc Physical Therapist Past Accepting new patients
Tudor Home Therapies, Inc Physical Therapist Past Accepting new patients
Tudor Home Therapies, Inc Physical Therapist Past Accepting new patients

Locations

8215 W 108th Ter
Overland Park, KS 66210

225 E State Route 14
Ste B001
Columbiana, OH 44408
Phone (330) 482-3680

17 E River St
Ste A
Newton Falls, OH 44444
Phone (330) 872-7242

1098 N Ellsworth Ave
Salem, OH 44460
Phone (234) 567-4687

4451 Mahoning Ave NW
Ste A
Warren, OH 44483
Phone (330) 372-0207

1397 S Canfield Niles Rd
Unit 2
Youngstown, OH 44515
Phone (330) 953-0129

2959 Canfield Rd
Ste 7
Youngstown, OH 44511
Phone (330) 799-1680

7645 Market St
Ste 110
Youngstown, OH 44512

2860 Canfield Rd
Youngstown, OH 44511
Phone (330) 792-1118

Organizations & group practices 7

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1932408416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519500",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 MAHONING AVE NW STE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831977",
            "telephone_number": "330-372-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7620 Southern Blvd",
            "address_2": "Ste 3",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445125667",
            "country_code": "US",
            "telephone_number": "330-965-9330",
            "fax_number": "330-965-9308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7645 Market St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126098",
            "country_code": "US",
            "telephone_number": "330-965-9330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1098 N Ellsworth Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444601536",
            "country_code": "US",
            "telephone_number": "234-567-4687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 E River St Ste A",
            "address_purpose": "LOCATION",
            "city": "Newton Falls",
            "state": "OH",
            "postal_code": "444441372",
            "country_code": "US",
            "telephone_number": "330-872-7242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2860 Canfield Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445112803",
            "country_code": "US",
            "telephone_number": "330-799-6298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E State Route 14 Ste B001",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444088490",
            "country_code": "US",
            "telephone_number": "330-482-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODSEN",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "0129111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140452",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "CALKO",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.