Active NPIIndividual provider

Elissa M Goetze, PT, DPT

Physical Therapist in Swampscott, Massachusetts

NPI Number1043746100
Practice location
173 Essex St Fl 1, Swampscott, MA 01907-1150
Fax
781-586-0125
Last updated
February 28, 2018

Elissa Marie Goetze is a Physical Therapist based in Swampscott, MA. Elissa Marie Goetze practices in Swampscott, MA and has the professional credentials of PT, DPT. The NPI Number for Elissa Marie Goetze is 1043746100 and holds a License No. PT012610 (GA). The current practice location address for Elissa Marie Goetze is 173 Essex St Fl 1, Swampscott, MA 01907-1150 and can be reached out via phone at 781-586-0550 and via fax at 781-586-0125.

Provider Profile Details

NPI Number
1043746100
Provider Name
Elissa Marie Goetze
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
173 Essex St Fl 1, Swampscott, MA 01907-1150
Phone Number
781-586-0550
Fax Number
781-586-0125
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Elissa Marie Shepard, PT, DPT (Former Name)
Provider Enumeration Date
May 11, 2017
Last Update Date
February 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
173 Essex St Fl 1
Swampscott, MA 01907-1150
Zip
01907-1150
Phone Number
781-586-0550
Fax Number
781-586-0125
Swampscott, MA 01907Get directions →

Provider Business Mailing Address Details

Address
1 Credit Union Way Fl 3
Randolph, MA 02368-4633
City
Randolph
State
MA
Zip
02368-4633
Phone Number
781-961-3370
Fax Number
781-961-1291

License Information

License Number (1)
PT012610
License State (1)
GA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
23503
License State (2)
MA
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapists near Swampscott, MA

View all Physical Therapists in Swampscott →

Frequently Asked Questions

What is the NPI number of Elissa M Goetze, PT, DPT?

The NPI number of Elissa M Goetze, PT, DPT is 1043746100. It was assigned on May 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Elissa M Goetze, PT, DPT?

Elissa M Goetze, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in GA under license number PT012610.

Where does Elissa M Goetze, PT, DPT practice?

The practice location is 173 Essex St Fl 1, Swampscott, MA 01907-1150. The office can be reached at 781-586-0550 (phone) or 781-586-0125 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043746100 directly on the NPPES registry website.

Browse related providers