Active NPI
Robert A Goldman, P.T.
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1144415571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22544
- Practice address
- 12700 Creekside LN
Suite 101
Fort Myers, FL 33919-3356 - Phone
- (239) 432-0774
- Fax
- (239) 432-0229
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- 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 | PT22544 | FL | Primary |
Addresses
Primary practice location
12700 Creekside LN
Suite 101
Fort Myers, FL 33919-3356
Mailing address
1807 SE 41St St
#11
Cape Coral, FL 33904-6003
Phone (239) 432-0774
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT22544 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroscience and Spine Associates PL | Past | Accepting new patients | |
| Hazel Dell Sports Medicine & Rehab Clinic PLLC | Past | Accepting new patients | |
| Cascade Park Sports Medicine & Rehab Clinic PLLC | Past | Accepting new patients | |
| Concepts in Rehab Inc | Past | Accepting new patients | |
| Gehm Chiropractic Services | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Myers, FL
- NPI 1558458273
-
- Interventional Pain Medicine Physician
- Naples, FL
- NPI 1669536645
-
- Chiropractor
- Vancouver, WA
- NPI 1679641393
-
- Clinic/Center
- Camas, WA
- NPI 1811453327
-
dba Forgey SportsMed & Rehab Clinic
- Chiropractor
- Vancouver, WA
- NPI 1902930076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1144415571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 SE 41ST ST",
"address_2": "#11",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339046003",
"telephone_number": "239-432-0774",
"fax_number": "239-432-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 CREEKSIDE LN",
"address_2": "SUITE 101",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193356",
"telephone_number": "239-432-0774",
"fax_number": "239-432-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT22544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.