Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ann Elizabeth Goodgame, PT

Individual provider Pediatric Physical Therapist · NPI 1790606978

Ann Elizabeth Goodgame, PT is a Pediatric Physical Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11726 San Vicente Blvd
Los Angeles, CA 90049-5044
Phone: (424) 724-0944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT24576 (CA)

Record details

NPI number1790606978
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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