Derek Douglas Gokee, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11796 Issued in AZ

Practice address

1514 E Donald St
South Bend, IN 46613-3524

Phone

(616) 755-0968

NPI assigned

Nov 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1952774820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 E DONALD ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466133524",
            "telephone_number": "616-755-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 E DONALD ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466133524",
            "telephone_number": "616-755-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKEE",
        "first_name": "DEREK",
        "middle_name": "DOUGLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braya Angel Godette
• Tanya M Goeller, PTA
• Alice Goertz, MSW
• Maureen Candice Goetz, BCBA
• Himabindu Gogeneni, DDS
• Golden Years Therapy LLC
• Melanie Goldschmidt, D.O
• Mitchell Robert Goldstein, M.D.
• Paul Goldwin, DDS
• Cameron R. Gongwer, MD

• Physical Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.