Individual
CHAD J. GOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CMTPT
Contact information
Practice address
9980 BROOK RD UNIT 16, GLEN ALLEN, VA 23059-6501
(804) 550-5730
(804) 550-5733
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209518
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154701597
MEDICAID QMB PROVIDER ID
VA
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
06/01/2015
Last updated
04/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us