Active NPI
Jessica M Good, P.T.
- Physical Therapist
- Farmington Hills, MI
National Provider Identifier
1982823423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-013547
- Practice address
- 27240 Haggerty Rd
E-15
Farmington Hills, MI 48331-5716 - Phone
- (866) 991-0900
- Fax
- (866) 992-0900
- NPI assigned
- Apr 24, 2007
- Last updated
- Dec 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 070-013547 | IL | Primary |
Addresses
Primary practice location
27240 Haggerty Rd
E-15
Farmington Hills, MI 48331-5716
Mailing address
5020 Mill Wheel Dr
Bakersfield, CA 93313-4520
Phone (773) 677-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-013547 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1982823423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 MILL WHEEL DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933134520",
"telephone_number": "773-677-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27240 HAGGERTY RD",
"address_2": "E-15",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483315716",
"telephone_number": "866-991-0900",
"fax_number": "866-992-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-013547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.