Comprehensive Myofascial Therapy Associates, PA
NPI 1174765903ActiveOrganization· Physical Therapist· Jacksonville, FL
Physical Therapist in Jacksonville, Florida, registered in NPPES in March 2009. The authorized official on file is Shannon Page Goossen, AP, LMT, President.
Overview
| NPI | 1174765903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2009 |
| Last updated in NPPES | Mar 25, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT 6380 | FL |
| Acupuncturist | 171100000X | AP1566 | FL |
| Massage Therapist | 225700000X | MA 20767 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Jacksonville
- 1942453105
- 1457797557
- 1467829770
- 1598399651
- 1508859893
- 1164776662
- 1154160836
- 1356917934
- 1063465540
- 1194409920
- 1609483361
- 1801722186