AMANDA JUNE GOECKERMAN (PT, DPT) – Physical Therapist, NPI 1962068130

AMANDA JUNE GOECKERMAN (PT, DPT) is a healthcare provider. based in Oregon, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT018017 (OH). The NPI Number for AMANDA JUNE GOECKERMAN (PT, DPT) is 1962068130

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA JUNE GOECKERMAN (PT, DPT)
NPI
1962068130
Phone
(419) 693-0676
Address
2815 DUSTIN RD
Enumeration Date
14 May 2019
Last Update Date
14 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4196930676
Graduation Year
2019 (7 years ago)
PAC ID
0042544520
Group Practice PAC ID
3577651223
Professional Enrollment ID
I20190703001301
Address ID
OH436163497OR2815XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for AMANDA JUNE GOECKERMAN (PT, DPT)

  • 2815, Dustin Road, Hallschild, Oregon, Lucas County, Ohio, 43616, United States

    OREGON, OH 436163495

    Phone: (419) 693-0676

    Type: Location

  • 1121, Cardinal Bay Drive, Cardinal Estates, Oregon, Lucas County, Ohio, 43616, United States

    OREGON, OH 436163483

    Phone: (419) 367-8319

    Type: Mailing

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: 2019-07-03

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
I20190703001301IPhysical Therapist In Private PracticeOHTBD

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 minutes1,590139$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,551136$0
97530Therapy procedure using functional activities444107$0
97113Therapy procedure using water pool to exercises, each 15 minutes40721$0
97161Evaluation for physical therapy, typically 20 minutes7975$0
View full utilization report →

Insurance plans in this area (ZIP 43616)

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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: 3577651223View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeSC

Reviews

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Frequently asked questions

What number should I use to identify AMANDA JUNE GOECKERMAN (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1962068130 for AMANDA JUNE GOECKERMAN (PT, DPT).
Quick check: is AMANDA JUNE GOECKERMAN (PT, DPT) active?
Public NPPES data shows AMANDA JUNE GOECKERMAN (PT, DPT) with an active NPI status right now.
What does the directory say AMANDA JUNE GOECKERMAN (PT, DPT) does?
Insurance directories may phrase it differently, but here AMANDA JUNE GOECKERMAN (PT, DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is AMANDA JUNE GOECKERMAN (PT, DPT) tied to Oregon, Ohio?
If you are local to Oregon, Ohio, AMANDA JUNE GOECKERMAN (PT, DPT) may be relevant to your search.
Who maintains AMANDA JUNE GOECKERMAN (PT, DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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