Stacey S. Goodale, PT
NPI 1063758019ActiveIndividual· Physical Therapist· Sarasota, FL
Physical Therapist (PT) with Maxider Corporation, practicing in Sarasota, Florida. Medicare paid $71,515 for services to 127 patients in 2024.
Overview
| NPI | 1063758019 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Dec 19, 2012 |
| Last updated in NPPES | Jan 6, 2020 |
| Certified by provider | Jan 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT13044 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
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Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 127 |
|---|---|
| Services billed | 3,716 across 13 procedure codes |
| Paid by Medicare | $71,515 |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Maxider CorporationSarasota, FL · 11 clinicians
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