Provider Demographics
NPI:1700895125
Name:GOIN, JOY C (MSPT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:C
Last Name:GOIN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4360 FOXBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-4520
Mailing Address - Country:US
Mailing Address - Phone:720-306-8280
Mailing Address - Fax:720-306-8281
Practice Address - Street 1:26 W DRY CREEK CIR
Practice Address - Street 2:STE 640
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8063
Practice Address - Country:US
Practice Address - Phone:720-306-8280
Practice Address - Fax:720-306-8281
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4806225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
102255332OtherOWCP FACILITY ID
CO06-6600Medicare Oscar/Certification