Gregory John Oellig Gould, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60936698 Issued in WA

Practice address

22526 SE 64TH PL Ste 140
Issaquah, WA 98027-5368

Phone

(425) 270-3238

NPI assigned

Mar 11, 2019

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

State licenses

Practice roles

Locations

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.

• Shellman Inc PA

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1326050253
  NPD
• Waypoint Pediatric Therapies

  • Physical Therapist
  • Issaquah, WA
  • NPI 1184996803
  NPD (past)

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1962960724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22526 SE 64TH PL STE 140",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275368",
            "telephone_number": "425-270-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22526 SE 64TH PL STE 140",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275368",
            "telephone_number": "425-270-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13315 68th Pl NE",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980341650",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "GREGORY",
        "middle_name": "JOHN OELLIG",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60936698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Nicole Goodrow
• Kelly Kathleen Gordon, ARNP)
• Matthew Craig Gordon, M.D.
• Linda Gorzalski, OTR/L
• Madeline Paige Gottlieb
• Cara V Graham, MSW, LICSW
• Michelle Granden, PHD, LMHCA
• Stephanie A. Granvall, P.A.-C
• Aaron Leo Gray
• Caroline Lee Cook Gray

• Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.