Jillian Goldberg, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6511 Issued in CT

Practice address

100 State Route 37
New Fairfield, CT 06812-4024

Phone

(203) 312-0211

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Physical Therapy and Wellness LLCGroup PAC ID 8426317595, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Access Physical Therapy & Wellness, LLC

  • Physical Therapist
  • New Fairfield, CT
  • NPI 1659819241
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1063234847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE N",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STATE ROUTE 37",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124024",
            "telephone_number": "203-312-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JILLIAN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "6511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Furlong, BCBA
• Sidney Gerken, BCBA, LBA-CT
• Getting There Therapy LLC
• Kim Gioia, LPCA
• Cyndi Lauren Giordano-Donati, BCBA
• Robert Greco, P.A.
• Thomas W Hannah, LCSW
• Stephen James Hanrahan, DMD
• Heather Jones, LMFT, LLC
• Patricia Ann Heraghty, MS, LAC.

• Occupational Therapist in New Fairfield, CT
• Providers in New Fairfield, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.