Olivia Gouldin, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216219 Issued in VA

Practice address

519 W Jubal Early Dr Ste 102
Winchester, VA 22601-6519

Phone

(540) 665-0104

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 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.

• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Olney, MD
  • NPI 1487093167
  Medicare reassignment Care Compare group NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Gainesville, VA
  • NPI 1063393833
  NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Winchester, VA
  • NPI 1346320637
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Frederick, MD
  • NPI 1962841627
  NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1083475123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W JUBAL EARLY DR STE 102",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016519",
            "telephone_number": "540-665-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W JUBAL EARLY DR STE 102",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016519",
            "telephone_number": "540-665-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDIN",
        "first_name": "OLIVIA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Gorenshtein, DPM
• Jeffrey Gorenshtein, DPM
• Maureen Virginia Gorman, M.ED., L.P.C.
• Alexandria Gosnell, PT, DPT, LAT, LMT
• Roy Edward Gottschalk
• Jennifer M Gowers
• Grace Assessment and Therapy Associates
• Grace Point Pediatrics Inc.
• Cara Lynn Grady
• Darius Lemont Grady, BEHAVIOR TECHNICIAN

• Physical Therapist in Winchester, VA
• Providers in Winchester, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.