ANDREW GOFORTH (NPI# 1124562954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124562954 |
| Entity Type | Individual |
| Full Name | ANDREW GOFORTH |
| Credential | LMT. |
| Practice Address |
3308 Arbor Dr Fenton MI 48430-3127 |
| Mailing Address |
3308 Arbor Dr. Fenton MI 48430-3127 |
| Practice Telephone | 8103337990 |
| Practice Fax Number | 8102151086 |
| Mailing Telephone | 8103337990 |
| Mailing Fax Number | 8102151086 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 7501007374 | MI | Other Service Providers |
| Street Address |
3308 ARBOR DR |
| City | FENTON |
| State | MI |
| Zip Code | 48430-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689034282 | Rachel Jennifer Cooper | Mechanotherapist | 120 Laurel Leah, Fenton, MI 48430-8784 | 2016-02-25 |
| 1679872014 | Belle Jackson | Mechanotherapist | 2815 W Silver Lake Rd, Fenton, MI 48430-2655 | 2011-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285177162 | Rashida Bennett El | Mechanotherapist | 13218 Stoepel St, Detroit, MI 48238-3187 | 2016-11-28 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1790231603 | Ashley Paige Taylor | Mechanotherapist | 9790 E M 21, Ovid, MI 48866-9413 | 2016-08-30 |
| 1447704259 | Maria G Sanchez | Mechanotherapist | 903 Dexter St, Milan, MI 48160-1160 | 2016-08-09 |
| 1083060925 | Gregory Fyfe | Mechanotherapist | 2506 Crossing Cir Ste A, Traverse City, MI 49684-7955 | 2016-05-10 |
| 1518354638 | Judy Liu Ramsey | Mechanotherapist | 220 Collingwood St, Suite 130, Ann Arbor, MI 48103-3842 | 2015-04-16 |
| 1902291198 | Michigan Imassage | Mechanotherapist | 140 W River St, Suite 10, Cadillac, MI 49601-1862 | 2015-04-03 |
| 1598156382 | Pamela Wilcox | Mechanotherapist | 29344 Hoover Rd, Ste 206, Warren, MI 48093-3441 | 2015-02-14 |
| 1639571813 | Karen Vanderhorst | Mechanotherapist | 400 East 8th St, Traverse City, MI 49686-2670 | 2014-09-19 |
| 1205238540 | Marta Stern | Mechanotherapist | 3152a Port Sheldon Rd., Hudsonville, MI 49426 | 2014-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.