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

Gomer Go

Individual provider Physical Therapist · NPI 1386201507

Gomer Go is a Physical Therapist in Private Practice in Vienna, West Virginia. Qualified in 1997, 29 years ago. Practices with Lutheran Haven Therapy LLC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
29
In the registry since
2019
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Practice location Address checks out

203 Covington Way
Vienna, WV 26105-8096
Phone: (740) 371-0610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1386201507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2019
Last updated in NPPESMay 22, 2019
Mailing address2600 Compass Rd, Glenview, IL 60026-8001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Lutheran Haven Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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