Mrs Jaime Goss, MPT, PT | |
73 Valley Rd, Middletown, RI 02842-5234 | |
(401) 726-7100 | |
(401) 433-0612 |
Full Name | Mrs Jaime Goss |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 73 Valley Rd, Middletown, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164642187 | NPI | - | NPPES |
110121031A | Medicaid | MA | |
12109 | Other | NC | LICENSE# |
1801 | Other | AK | LICENSE# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT02648 (Rhode Island) | Secondary |
225100000X | Physical Therapist | 20842 (Massachusetts) | Primary |
Provider Name | California Luna Care Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jaime Goss, MPT, PT 4 Richmond Sq Ste 200, Providence, RI 02906-5117 Ph: (401) 726-7100 | Mrs Jaime Goss, MPT, PT 73 Valley Rd, Middletown, RI 02842-5234 Ph: (401) 726-7100 |
Mrs. Diane Lynn Butler, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Green End Avenue, Middletown, RI 02842 Phone: 401-849-7100 | |
Tru-care Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Valley Rd Ste 101, Middletown, RI 02842 Phone: 401-619-4639 Fax: 401-619-2333 | |
Mrs. Kristin Riley, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1181 Aquidneck Ave, Olympic Physical Therapy, Middletown, RI 02842 Phone: 401-845-0840 Fax: 401-845-0842 | |
Mrs. Kathleen Patricia Casimiro, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Green End Ave, Middletown, RI 02842 Phone: 401-849-7100 | |
Bryan Raksnis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 73 Valley Rd, Middletown, RI 02842 Phone: 401-289-2170 Fax: 401-289-2634 | |
Joshua Ronald Clare, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1181 Aquidneck Ave, Middletown, RI 02842 Phone: 401-845-0840 Fax: 401-845-0842 | |
Elizabeth Poulton, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 333 Green End Ave, Middletown, RI 02842 Phone: 401-851-8534 |