Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750518007 Individual Practitioner Male Practitioner

Stephen Randall Goodman , MASSAGE THERAPIST

Specialist • Venice, FL

Professional Overview & Biography Verified Profile Summary

Stephen Goodman, MASSAGE THERAPIST is a registered healthcare professional specializing in Specialist in Venice, FL. Practice services are available at 328 TAMIAMI TRL S STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

328 Tamiami Trl S Ste A

Venice, FL 342852434

Telephone 9414855797

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Venice, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Venice, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL MA55323

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield Of Florida
MA55323 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 14, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2009

Registered at 328 TAMIAMI TRL S STE A, VENICE, FL 342852434 (Tel: 9414855797)

📍
Updated Business Mailing Address June 14, 2009

Registered at 20277 PEZZANA DR, VENICE, FL 342924661 (Tel: 9414418375)

👤
Provider Name / Credentials Updated June 14, 2009

Recorded as STEPHEN GOODMAN, MASSAGE THERAPIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2009

Specialist (License #MA55323 in FL)

🟢
Initial NPI Registration & Enumeration June 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750518007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2009
Last Update: July 12, 2026
Sole Proprietor: Yes

Mailing Address

20277 Pezzana Dr

Venice, FL 342924661

Phone: 9414418375

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.