Individual provider Active NPI

Sanford A Goldstein, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1033285317
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7411 Issued in AZ
Practice address
4902 S Val Vista Dr
Suite B-102
Gilbert, AZ 85298-7325
Phone
(480) 855-8866
Fax
(480) 855-8867
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7411 AZ Primary

Addresses

Primary practice location

4902 S Val Vista Dr
Suite B-102
Gilbert, AZ 85298-7325

Mailing address

2005 W 14TH St
Suite 136
Tempe, AZ 85281-6925
Phone (480) 967-2900

Other identifiers 1

IdentifierTypeStateIssuer
194529MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7411AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Industrial on-Site Network, LLC Physical Therapist Past Accepting new patients
Measurabilities, LLC Physical Therapist PastSince Mar 26, 2014 Accepting new patients
GS Consulting Group LLC PastSince Jun 1, 2015 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1033285317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 W 14TH ST",
            "address_2": "SUITE 136",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816925",
            "telephone_number": "480-967-2900",
            "fax_number": "480-967-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 S VAL VISTA DR",
            "address_2": "SUITE B-102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852987325",
            "telephone_number": "480-855-8866",
            "fax_number": "480-855-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "SANFORD",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194529",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.