Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Comprehensive Myofascial Therapy Associates, PA

Physical Therapist in Jacksonville, FL · enumerated 2009 · authorized official Shannon Goossen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174765903

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Comprehensive Myofascial Therapy Associates, PA

Practice address 14546 Old Saint Augustine Rd, Suite 403, Jacksonville, FL, 32258

Phone (904) 296-1500

Fax (904) 391-1005

Enumeration date Mar 25, 2009

Last updated in NPPES Mar 25, 2009

Taxonomy & classification

171100000X Acupuncturist Other Service Providers · License AP1566 (FL) Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT 6380 (FL) Primary

225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License MA 20767 (FL) Secondary

Authorized official

Name Shannon Goossen

Title President

Phone (904) 296-1500

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Comprehensive Myofascial Therapy Associates, PA?

NPPES lists Shannon Goossen (President) as the authorized official for this organization.

What is the NPI number for Comprehensive Myofascial Therapy Associates, PA?

The NPI for Comprehensive Myofascial Therapy Associates, PA is 1174765903, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-25.