Active NPI
Amanda June Goeckerman, PT, DPT
- Physical Therapist
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018017
- Practice address
- 4235 Secor Rd
Toledo, OH 43623-4299 - Phone
- (419) 479-5960
- NPI assigned
- May 14, 2019
- 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 | PT018017 | OH | Primary |
Addresses
Primary practice location
4235 Secor Rd
Toledo, OH 43623-4299
Mailing address
4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561
Other practice location 1
2815 Dustin Rd
Oregon, OH 43616-3495
Phone (419) 693-0676
Other practice location 2
4900 N McCord Rd Ste A1
Sylvania, OH 43560-3195
Phone (419) 517-1040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361929 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190703001301 | OH | Practitioner - Physical Therapist in Private Practice | 0042544520 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Point Rehabilitation LLC
Practice addresses (Care Compare)
2815 Dustin Rd
Suite B
Oregon, OH 43616-3497
Phone (419) 693-0676
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Point Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Healtherapy Partners Inc | Physical Therapist | Past | Accepting new patients |
| Mercy Health System Northern | Past | Accepting new patients |
Locations
2815 Dustin Rd
Ste B
Oregon, OH 43616
Phone (419) 693-0676
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Toledo, OH
- NPI 1568453355
Physical Therapist
-
- Pediatric Cardiology Physician
- Toledo, OH
- NPI 1992748743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1962068130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234299",
"telephone_number": "419-473-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234299",
"telephone_number": "419-479-5960"
}
],
"practiceLocations": [
{
"address_1": "2815 Dustin Rd",
"address_purpose": "LOCATION",
"city": "Oregon",
"state": "OH",
"postal_code": "436163495",
"country_code": "US",
"telephone_number": "419-693-0676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4900 N McCord Rd Ste A1",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435603195",
"country_code": "US",
"telephone_number": "419-517-1040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOECKERMAN",
"first_name": "AMANDA",
"middle_name": "JUNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT018017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361929",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.