Individual provider Active NPI

Michele Lee Goldhammer, PT

  • Physical Therapist
  • Danville, IN
National Provider Identifier
1295869386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002932A Issued in IN
Practice address
3380 E Main St
Danville, IN 46122-9089
Phone
(317) 718-0089
Fax
(317) 718-0097
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05002932A IN Primary

Addresses

Primary practice location

3380 E Main St
Danville, IN 46122-9089

Mailing address

1875 Water Oak CT
Avon, IN 46123-7484
Phone (317) 839-1355

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05002932AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bassim a Salha Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295869386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 WATER OAK CT",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237484",
            "telephone_number": "317-839-1355",
            "fax_number": "317-839-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229089",
            "telephone_number": "317-718-0089",
            "fax_number": "317-718-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDHAMMER",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002932A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.