Active NPI
Jenna Milligan Goldberg
- Physical Therapist
- Warner Robins, GA
National Provider Identifier
1093594848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010607
- Practice address
- 100 Lake Crossing Dr
Warner Robins, GA 31088-9309 - Phone
- (478) 287-4344
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010607 | GA | Primary |
Addresses
Primary practice location
100 Lake Crossing Dr
Warner Robins, GA 31088-9309
Mailing address
104 Larkwood BND
Kathleen, GA 31047-2578
Phone (229) 890-0481
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1093594848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 LARKWOOD BND",
"city": "KATHLEEN",
"state": "GA",
"postal_code": "310472578",
"telephone_number": "229-890-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LAKE CROSSING DR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310889309",
"telephone_number": "478-287-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "JENNA",
"middle_name": "MILLIGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.