MS. STACEY S GOODALE (PT) – Physical Therapist, NPI 1063758019

MS. STACEY S GOODALE (PT) is a healthcare provider. based in Sarasota, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT13044 (FL). The NPI Number for MS. STACEY S GOODALE (PT) is 1063758019

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MS. STACEY S GOODALE (PT)
NPI
1063758019
Phone
(941) 360-1988
Address
2970 UNIVERSITY PKWY STE 105
Enumeration Date
19 December 2012
Last Update Date
6 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413601988107
Graduation Year
1994 (32 years ago)
PAC ID
5294980801
Group Practice PAC ID
4385619154
Professional Enrollment ID
I20130306000103
Address ID
FL342432401SA2970XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MS. STACEY S GOODALE (PT)

  • 2970 UNIVERSITY PKWY STE 105

    SARASOTA, FL 342432401

    Phone: (941) 360-1988

    Fax: (941) 360-1998

    Type: Mailing

  • 943 S Beneva Rd

    Suite 204

    Sarasota, FL 342322476

    Phone: (941) 955-1850

    Fax: (941) 955-1852

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130306000103IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes76160$0
97530Therapy procedure using functional activities48338$0
97140Therapy procedure using manual technique, each 15 minutes19223$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16629$0
97535Training for self-care or home management, each 15 minutes15057$0
View full utilization report →

Insurance plans in this area (ZIP 34243)

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Provider's Procedures

MS. STACEY S GOODALE (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3565334
PHYSICAL THERAPYFL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes3025288

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385619154View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeMI
-FL

Reviews

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Frequently asked questions

What NPI should I save for MS. STACEY S GOODALE (PT)?
Save NPI 1063758019 if you need a stable reference for MS. STACEY S GOODALE (PT).
Is MS. STACEY S GOODALE (PT) active in the national directory?
MS. STACEY S GOODALE (PT)'s public NPI profile is in an active state.
What field does MS. STACEY S GOODALE (PT) work in?
You can think of MS. STACEY S GOODALE (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. STACEY S GOODALE (PT)?
The page summarizes Sarasota, Florida for MS. STACEY S GOODALE (PT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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