ANTHONY DAVID GOODALL (NPI# 1275012072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275012072 |
Entity Type | Individual |
Full Name | ANTHONY DAVID GOODALL |
Credential | DPT |
Practice Address |
220 E Center Hill Rd Dallas PA 18612-1147 |
Mailing Address |
615 Kohler Ave Old Forge PA 18518-1042 |
Practice Telephone | 5706752300 |
Mailing Telephone | 5708853837 |
Enumeration Date | 2018-08-13 |
Last Update Date | 2018-08-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT027017 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
220 E CENTER HILL RD |
City | DALLAS |
State | PA |
Zip Code | 18612-1147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811465941 | Ian James Stout | Physical Therapist | 220 E Center Hill Rd, Dallas, PA 18612-1147 | 2018-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
1417170549 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 2860 State Route 309, Dallas, PA 18612 | 2007-04-10 |
Find all providers in zip 18612 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801429295 | Lauren Lehr | Physical Therapist | 9301 N Central Expy Ste 401, Dallas, TX 75231-0806 | 2020-02-13 |
1598266074 | Lauren-elizabeth Africa | Physical Therapist | 222 E Colorado Blvd, Dallas, TX 75203-1212 | 2018-02-21 |
1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
1649643008 | Debbie Lynn Sampath | Physical Therapist | 7999 W Virginia Dr Ste E, Dallas, TX 75237-3845 | 2015-11-06 |
1336525237 | Lily Catherine Sokolowski | Physical Therapist | 11909 Preston Rd Ste 1482, Dallas, TX 75230-6114 | 2015-08-03 |
1164499612 | Alejandro A Saenz | Physical Therapist | 718 W Davis St, Dallas, TX 75208-4951 | 2006-03-03 |
1144845769 | Troy J Hattan | Physical Therapist | 525 Se Washington St, Dallas, OR 97338-2834 | 2020-06-09 |
1275185449 | Kathryn Lee Overton | Physical Therapist | 3500 Oak Lawn Ave Ste 670, Dallas, TX 75219-4399 | 2019-07-09 |
1902461080 | Micah Thomas Easterling | Physical Therapist | 222 E Colorado Blvd, Dallas, TX 75203-1212 | 2019-05-04 |
1134683311 | Brittany Ann Uhlenbrock | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75235-5386 | 2019-01-22 |
Find all providers in DALLAS |
Please comment or provide details below to improve the information on ANTHONY DAVID GOODALL.
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.