Ms Krista L Gooding, PT | |
1525 Johnson Rd, Granite City, IL 62040-3831 | |
(618) 452-1986 | |
(618) 452-6814 |
Full Name | Ms Krista L Gooding |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 1525 Johnson Rd, Granite City, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841805058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.017546 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
King Spinal And Sports Rehabilitation Ltd | 2466461439 | 2 |
Provider Name | King Spinal & Sports Rehabilitation Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427157593 PECOS PAC ID: 2466461439 Enrollment ID: O20060419000599 |
Mailing Address | Practice Location Address |
---|---|
Ms Krista L Gooding, PT Po Box 1343, Granite City, IL 62040-1343 Ph: (618) 452-1986 | Ms Krista L Gooding, PT 1525 Johnson Rd, Granite City, IL 62040-3831 Ph: (618) 452-1986 |
Mr. Walter P Griffith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
Melanie M Kozak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3135 Fax: 618-798-3140 | |
Miss Jenna Anne Davis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1503 Lindell Blvd, Granite City, IL 62040 Phone: 618-709-4125 Fax: 618-709-4126 | |
Mr. Timothy J Knox, PT, CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Walnut St, Granite City, IL 62040 Phone: 618-452-2111 Fax: 618-225-6417 | |
Mr. Ilde Boy Tan Velasco, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Century Dr, Granite City, IL 62040 Phone: 618-877-2700 | |
Mrs. Carla Ann Buzan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3135 Fax: 618-798-3505 | |
Dr. Michael Lockenvitz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1503 Lindell Blvd, Granite City, IL 62040 Phone: 618-709-4125 |