David William Goldenbogen, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013426 Issued in MI

Practice address

7083 Dixie Hwy
Clarkston, MI 48346-2076

Phone

(248) 620-8980

Fax

(248) 620-9397

NPI assigned

Aug 16, 2007

Sex

Male

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.goldenbogen.1@9974.direct.athenahealth.com
• Direct secure messaging: david.goldenbogen.p4@direct.athleticoltd.nextgenshare.com

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.

• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  MI

  Medicare reassignment Care Compare group NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Ithaca Physical Therapy, Inc

  • Physical Therapist
  • Ithaca, MI
  • NPI 1316321052
  NPD (past)
• James Randolph Tilton

  • Physical Therapist
  • Ithaca, MI
  • NPI 1952326753
  NPD (past)
• Saginaw Valley Sport & Spine Limited Partnership

  • Physical Therapy Clinic/Center
  • Saginaw, MI
  • NPI 1316022361

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1174715890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7083 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462076",
            "telephone_number": "248-620-8980",
            "fax_number": "248-620-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBOGEN",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Gilchrist
• Inayat Gill, DO
• Catherine Glaser, OTRL
• Matthew Glenn, PT
• GNS Medical Supplies, Inc.
• Faina Goldin, PT
• Jessica Lee Golding, RDN
• Stacy E Golliff, MS, LPC, NCC
• Karen Gomez
• George Michael Googasian

• Physical Therapist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.