MRS. KRISTY A GOODMAN (NPI# 1396804449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396804449 |
| Entity Type | Individual |
| Full Name | MRS. KRISTY A GOODMAN |
| Credential | PT |
| Practice Address |
709 Hawkins Ave Ste 1 Lake Ronkonkoma NY 11779-2293 |
| Mailing Address |
1102 Spruce Dr Holbrook NY 11741-4462 |
| Practice Telephone | 6314674221 |
| Practice Fax Number | 6314674233 |
| Mailing Telephone | 6316803524 |
| Mailing Fax Number | 6314674233 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 026489 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 026489 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904221 | Kristy Nicole Goodman | Technician | 1180 Sandlick Branch Road, Bruno, WV 25611 | 2020-08-26 |
| 1760810832 | Kristy Marie Goodman | Physician Assistant | 400 W 30th St, Los Angeles, CA 90007-3320 | 2013-10-28 |
| 1225358393 | Kristy M Goodman | Social Worker | 1005 Dr. D.b. Todd Jr. Blvd., Nashville, TN 37208 | 2010-06-10 |
| Street Address |
709 HAWKINS AVE STE 1 |
| City | LAKE RONKONKOMA |
| State | NY |
| Zip Code | 11779-2293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912565490 | Suganthi Ravindran Physician P.c | Internal Medicine | 709 Hawkins Ave Ste 1, Lake Ronkonkoma, NY 11779-2293 | 2019-05-30 |
| 1598952830 | Allison P Rothstein | Physical Therapist | 709 Hawkins Ave Ste 1, Lake Ronkonkoma, NY 11779-2293 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958490 | Wirth Physical Therapy PC | Physical Therapist | 650 Hawkins Ave Ste 4, Lake Ronkonkoma, NY 11779-2366 | 2019-05-20 |
| 1205056959 | Kimberly Messina | Physical Therapist | 45 Rosevale Ave, Lake Ronkonkoma, NY 11779-3105 | 2007-04-26 |
| 1356470751 | Tracey Lynn Smith | Physical Therapist | 167 Smith Rd, Lake Ronkonkoma, NY 11779-2213 | 2007-03-04 |
| 1366577538 | Barbara M. Conner | Physical Therapist | 1 Church Pl, Lake Ronkonkoma, NY 11779-3305 | 2007-02-21 |
| 1477644011 | Joseph John Valerio | Physical Therapist | 484 Hawkins Ave, Lake Ronkonkoma, NY 11779-4248 | 2006-09-27 |
| 1306396528 | Cifarelli, Neilsen, and Topping Acupuncture and Pt Pllc | Physical Therapist | 500 Portion Rd, Suite 17, Lake Ronkonkoma, NY 11779-4587 | 2016-10-12 |
| 1376930974 | Gnlc Physical Therapy Pllc | Physical Therapist | 500 Portion Rd, Suite5, Lake Ronkonkoma, NY 11779-4587 | 2015-04-21 |
| 1306180583 | Michael Wirth | Physical Therapist | 650 Hawkins Ave, Ste 4, Lake Ronkonkoma, NY 11779-2366 | 2012-11-12 |
| 1457601072 | Kerri Hamilton | Physical Therapist | 484 Hawkins Ave, Lake Ronkonkoma, NY 11779-4248 | 2012-09-11 |
| 1912135682 | Jennifer Lynne Dyer | Physical Therapist | 484 Hawkins Ave, Lake Ronkonkoma, NY 11779-4248 | 2009-07-01 |
| Find all providers in LAKE RONKONKOMA | ||||
| City | LAKE RONKONKOMA |
| Zip Code | 11779 |
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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.