NPI: 1104215177

KIEFER GOOCH, PT

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• Entity Type: Individual (Gender: M)
• Last Observed in the System¹ on:
• First Entered in the System¹ on: 2015-01-14
• Medicare Revalidation Due Date²: Not Available
• Certified the records on: Not Certified
• Specialty: Physical Therapist In Private Practice
• Medical School: OTHER, 2014
• Telephone Number: 3023897855
• NPPES Profile Page: https://npiregistry.cms.hhs.gov/provider-view/1104215177
• CMS Profile Page: https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool/provider/1104215177

Other IDs

• PECOS ID: 3476871849

Affiliations

The affiliation information is derived from the Medicare revalidation list².

• Premier Physical Therapy And Sports Performance Limited Partnership (1417320151)

Addresses

• Primary & Current, 642 S QUEEN ST SUITE 101, DOVER, DE 199043506

Taxonomies

• 2018-01-07 ~ Present ³ , Physical Therapist (225100000X), Primary

Licenses

• 2018-01-07 ~ Present ³ , J1-0003263, DE

Orgs. with the Same Mailing Address (5)

The list below shows the Organization Entities (Entity Type Code: 2) with the same mailing addresses. They may be other branch offices or co-located businesses.

• TAKPOMO FOUNDATION (1346648219)
• GREENWOOD URGENT CARE CENTER INC (1790716363)
• FIRST STATE GASTROENTEROLOGY ASSOCIATION (1023406055)
• FAMILY HEALTH OF DELAWARE (1952332314)
• CENTRAL DELAWARE ENDOSCOPY UNIT (1093800807)

Orgs. with the Same Practice Address (11)

The list below shows the Organization Entities (Entity Type Code: 2) with the same practice addresses. They may be co-located businesses.

• TAKPOMO FOUNDATION (1346648219)
• PREMIER PHYSICAL THERAPY AND SPORTS PERFORMANCE LIMITED PARTNERSHIP (1548760788)
• NEW GENESIS HEALTH SERVICES, LLC (1851005557)
• MATRIX REHABILITATION DELAWARE, INC (1013947217)
• GREENWOOD URGENT CARE CENTER INC (1790716363)
• FIRST STATE ORTHOPAEDICS, PA (1508222928)
• FIRST STATE GASTROENTEROLOGY ASSOCIATION (1023406055)
• FAMILY HEALTH OF DELAWARE (1952332314)
• CENTRAL DELAWARE ENDOSCOPY UNIT LLC (1811385883)
• CENTRAL DELAWARE ENDOSCOPY UNIT (1093800807)
• CDEU ANESTHESIA LLC (1003204074)

Notes

1. https://nppes.cms.hhs.gov/#/
2. https://data.cms.gov/tools/medicare-revalidation-list
3. Our records go back to 2018-01-07, and any records preceding this date are not captured. Please regard 2018-01-07 as the earliest date we could verify the records back then, not as the actual date for the time range.
4. https://openpaymentsdata.cms.gov/
5. The information is based on the UnitedHealthcare Transparency in Coverage site.