Individual provider Active NPI

Taryn Goff Soulcheck, M.P.T.

  • Physical Therapist
  • Van Nuys, CA
National Provider Identifier
1942265905
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27948 Issued in CA
Practice address
14600 Sherman Way
Suite #300
Van Nuys, CA 91405-2283
Phone
(818) 756-2563
Fax
(818) 904-0970
NPI assigned
Apr 20, 2006
Last updated
Apr 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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 PT27948 CA Primary

Addresses

Primary practice location

14600 Sherman Way
Suite #300
Van Nuys, CA 91405-2283

Mailing address

1127 Calle Castano
Thousand Oaks, CA 91360-4646
Phone (818) 756-2563

Other names 1

  • Miss Taryn Joanne Goff Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717001510 CA Practitioner - Physical Therapist in Private Practice 3072588706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camarillo Physical Therapy IncGroup PAC ID 3274076989, 8 clinicians

Practice addresses (Care Compare)

4000 Calle Tecate
Suite 117
Camarillo, CA 93012-5285
Phone (805) 383-0470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT27948CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Camarillo Physical Therapy, Inc Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Camarillo Physical Therapy Physical Therapist PastSince Jun 1, 2024 Accepting new patients

Locations

4000 Calle Tecate
Ste 117
Camarillo, CA 93012
Phone (805) 383-0470

850 Hampshire Rd
Ste Ab
Westlake Village, CA 91361
Phone (805) 383-0470

Organizations & group practices 4

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1942265905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 CALLE CASTANO",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604646",
            "telephone_number": "818-756-2563",
            "fax_number": "818-904-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY",
            "address_2": "SUITE #300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-756-2563",
            "fax_number": "818-904-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULCHECK",
        "first_name": "TARYN",
        "middle_name": "GOFF",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "GOFF",
            "middle_name": "JOANNE",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.