Mitchell A Goldman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25351 Issued in MA

Practice address

670 Linwood Ave Ste 2
Whitinsville, MA 01588-2068

Phone

(508) 234-7544

NPI assigned

Oct 28, 2019

Last updated

May 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackstone Valley Physical Therapy Services IncGroup PAC ID 1153217138, 10 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blackstone Valley Physical Therapy Services Inc

  • Physical Therapist
  • Whitinsville, MA
  • NPI 1598766198
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1083257505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 LINWOOD AVE STE 2",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882068",
            "telephone_number": "508-234-7544",
            "fax_number": "508-234-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LINWOOD AVE STE 2",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882068",
            "telephone_number": "508-234-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2022-05-26",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03203",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Raymond Gear
• Margaret Elizabeth Gehm, AU.D.
• Bethany Gilbert, LMHC
• Marisa A Giorgi, NP
• Fitore Gjemnica
• Tiffany Quinn Grace
• Christopher Greco
• Laura Green, LMHC
• Autumn Grimala
• Jameson Groot

• Physical Therapist in Whitinsville, MA
• Providers in Whitinsville, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.