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

Q: 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.

Q: What is Leah Goedecke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leah Goedecke was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

Phone(954) 262-9417

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

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Secondary Practice Locations 2

Location 16765 W Charleston Blvd Ste 150Las Vegas, NV 89146-2001 · Phone (702) 518-5774

Location 2900 S Pavilion Center Dr Ste 180Las Vegas, NV 89144-4582 · Phone (702) 518-5774

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.