MEDICARE: MS. LAURIE J GOSHE P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT12761	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT12761	OTHER	CA	CA P.T. LICENSE #

General Provider Information

NPI Number	:	1316082027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURIE J GOSHE P.T.

Provider Business Mailing Address
First Line	:	404 WESTMINSTER AVE # 6
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4237
Country	:	US
Telephone Number	:	949-646-6863
Fax Number	:	949-646-6538

Provider Business Practice Location Address
First Line	:	404 WESTMINSTER AVE # 6
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4237
Country	:	US
Telephone Number	:	949-646-6863
Fax Number	:	949-646-6538

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	10/05/2010

Similar Medicare Providers

1174748693 — GOSHE PHYSICAL THERAPY, INC.
Practice Location Address:

404 WESTMINSTER AVE # 6
NEWPORT BEACH, CA
92663-4237

Practice Phone: 949-646-6863
Practice Fax: 949-646-6538

1689487027 — ARMANDO ESPINO REBOLLAR
Practice Location Address:

404 WESTMINSTER AVE STE 2
NEWPORT BEACH, CA
92663-4237

Practice Phone: 657-289-8733
Practice Fax:

1174522551 — RICHARD OHAGAN D.O.
Practice Location Address:

813 DILIGENCE DR , STE 108
NEWPORT NEWS, VA
23606-4237

Practice Phone: 757-873-0848
Practice Fax: 757-873-1559

1235123530 — GEOFFREY B KOSTINER M.D.
Practice Location Address:

860 OMNI BLVD , SUITE # 205
NEWPORT NEWS, VA
23606-4237

Practice Phone: 757-873-2562
Practice Fax: 757-873-2570

1023099702 — JEFFREY D MOORE MD
Practice Location Address:

860 OMNI BLVD , SUITE #203
NEWPORT NEWS, VA
23606-4237

Practice Phone: 757-327-0657
Practice Fax: 757-327-0658

1427925478 — BRANDON SMITH
Practice Location Address:

2715 ROANOKE AVE
NEWPORT NEWS, VA
23607-4237

Practice Phone: 757-256-7455
Practice Fax:

Directions to “ MS. LAURIE J GOSHE P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.