Alberta Goodman, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1199 Issued in MD

Practice address

1026 Cromwell Bridge Rd
Baltimore, MD 21286-3308

Phone

(410) 583-1515

Fax

(410) 583-2491

NPI assigned

Nov 1, 2006

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992882633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 TALBOTT SQ",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171338",
            "telephone_number": "410-583-1515",
            "fax_number": "410-583-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 CROMWELL BRIDGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212863308",
            "telephone_number": "410-583-1515",
            "fax_number": "410-583-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ALBERTA",
        "name_prefix": "Mrs.",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Goodell, LCSW-C
• Maryellen R Goodell, MD
• Jessica Gooden
• Haylee Goodenough
• Chelsea Goodier, M.D
• Alexandra Goodman
• Alyssa Goodman, LMSW/LGSW
• Harold S Goodman, DMD
• Jason Elliott Goodman, M.D.
• Jay Goodman

• Physical Therapy Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.