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Active NPI 1730630005 Individual Practitioner Female Practitioner

Kristine Leuvelink Goddard , MASSAGE THERAPIST

Specialist • Mc Lean, VA

Professional Overview & Biography Verified Profile Summary

Kristine Goddard, MASSAGE THERAPIST is a registered healthcare professional specializing in Specialist in Mc Lean, VA. Practice services are available at 6829 ELM ST STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6829 Elm St Ste 300

Mc Lean, VA 221013845

Telephone 7035324892
Associated Practice Facility / Clinic
🏢 Kaplan Clinic, Pc Facility NPI 1417096249

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mc Lean, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Mc Lean, VA (878 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 VA 0019002714

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
NPI 1114498797

Clinical Nurse Specialist

NPI 1124054523

Physical Therapist

Dr. David Wang , DO

Physical Medicine & Rehabilitation

NPI 1144420894

Doctor of Osteopathic Medicine (D.O.)

Richard Rieger , CMT

Massage Therapist

NPI 1174798714

Certified Massage Therapist

Patricia Alomar , MS, PT

Physical Therapist

NPI 1316110042

Master of Science, Physical Therapist

Dr. Janet Nicholson , EdD

Psychologist - Group Psychotherapy

NPI 1326075045

Doctor of Education (Ed.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2016

Registered at 6829 ELM ST STE 300, MC LEAN, VA 221013845 (Tel: 7035324892)

📍
Updated Business Mailing Address October 20, 2016

Registered at 6829 ELM ST STE 300, MC LEAN, VA 221013845 (Tel: 7035324892)

👤
Provider Name / Credentials Updated October 20, 2016

Recorded as KRISTINE GODDARD, MASSAGE THERAPIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2016

Specialist (License #0019002714 in VA)

🟢
Initial NPI Registration & Enumeration October 20, 2016

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: 1730630005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2016
Last Update: October 20, 2016
Sole Proprietor: Yes

Mailing Address

6829 Elm St Ste 300

Mc Lean, VA 221013845

Phone: 7035324892

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.