LEAH GOEDECKE DO
NPI 1457974073
Neuromusculoskeletal Medicine & OMM in Davie, FL

Active since May 19, 2020PECOS Enrolled
3301 COLLEGE AVE, DAVIE, FL 33314(954) 262-9417 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Aug 13, 2024, Sep 9, 2020 and 1 more (4 updates tracked since 2020).

About Leah Goedecke Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH GOEDECKE DO (NPI 1457974073) is an individual neuromusculoskeletal medicine & omm provider in Davie, Florida, licensed in Michigan (DO3713) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457974073
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameLEAH GOEDECKECredential: DO
Location Address3301 COLLEGE AVEDavie, FL 33314-7796
Mailing Address6765 W Charleston Blvd Ste 150Las Vegas, NV 89146-2001 · (702) 518-5774 · Fax (702) 852-0890
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 19, 2020
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1457974073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in MI · DO3713
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedNeuromusculoskeletal Medicine, Sports MedicineTaxonomy 204C00000X · License DO3713 (NV), OS23159 (FL)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License DO3713 (NV)
Also ListedPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineTaxonomy 2081P0004X · License DO3713 (NV)
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License DO3713 (NV)
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
3301 COLLEGE AVE, Davie, FL 33314

Secondary Practice Locations 2

Location 1900 S Pavilion Center Dr Ste 180Las Vegas, NV 89144-4582 · Phone (702) 518-5774
Location 26765 W Charleston Blvd Ste 150Las Vegas, NV 89146-2001 · Phone (702) 518-5774

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah Goedecke Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961941281
PECOS Enrollment IDI20260426000058
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Leah Goedecke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sports Medicine
3301 COLLEGE AVE, UNIVERSITY CENTER ROOM 1433
Ft. Lauderdale, FL 33314
  • Reassigned Medicare billing, Florida enrollment
  • 264 clinicians in this Medicare group
Urgent Care
1347 S ANDREWS AVE
Fort Lauderdale, FL 33316
  • Reassigned Medicare billing, Florida enrollment
  • 97 clinicians in this Medicare group
Sports Medicine
6765 W CHARLESTON BLVD STE 150
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
3301 COLLEGE AVE
DAVIE, FL 33314
Speech-Language Pathologist
3301 COLLEGE AVE
DAVIE, FL 33314
Physical Therapist
3301 COLLEGE AVE
DAVIE, FL 33314
Specialist/Technologist (Athletic Trainer)
3301 COLLEGE AVE, NOVA SOUTHEASTERN UNIVERSITY ATHLETIC TRAINING
DAVIE, FL 33314
Occupational Therapist
3301 COLLEGE AVE
DAVIE, FL 33314
Student in an Organized Health Care Education/Training Program
3301 COLLEGE AVE
DAVIE, FL 33314
Physical Therapist
3301 COLLEGE AVE
DAVIE, FL 33314
Physical Therapist
3301 COLLEGE AVE
DAVIE, FL 33314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Goedecke's NPI number?

The NPI number for Leah Goedecke is 1457974073. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Leah Goedecke located?

Leah Goedecke practices at 3301 College Ave, Davie, FL 33314. The listed phone number is (954) 262-9417.

What is Leah Goedecke's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Leah Goedecke enrolled in Medicare?

Yes. Leah Goedecke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leah Goedecke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Goedecke reassigns Medicare benefits to 3 organizations: Nova Southeastern University, Inc. (Ft. Lauderdale, FL), American Current Care PA (Fort Lauderdale, FL) and Nevada Sports And Spine (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leah Goedecke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leah Goedecke accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Leah Goedecke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leah Goedecke was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.