Individual provider · Type 1 NPI

Ann Elizabeth Goodgame, PT

Pediatric Physical Therapist · Los Angeles, CA

NPI number 1790606978 Active

Practice location

11726 San Vicente Blvd
Los Angeles, CA 90049-5044

Mailing address

1228 Hillgrove Pl
Beverly Hills, CA 90210-2713

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT24576 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

4 other providers at this address

Other pediatric physical therapist providers in Los Angeles

See all in Los Angeles →

About NPI 1790606978

Ann Elizabeth Goodgame, PT's National Provider Identifier is 1790606978, issued on Jul 23, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 23, 2026.