Ryan Godfrey, PT, DPT
NPI 1831468578ActiveIndividual· Physical Therapist· Wilmington, NC
Physical Therapist (PT, DPT) with Change the Game Performance Therapy Inc, practicing in Wilmington, North Carolina. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1831468578 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Dec 27, 2011 |
| Last updated in NPPES | Jun 25, 2024 |
| Certified by provider | Jun 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P12423 | NC |
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 | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Change the Game Performance Therapy IncWilmington, NC · 7 clinicians
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