Individual provider Active NPI

David A Goldberg, PT

  • Physical Therapist
  • Portsmouth, NH
National Provider Identifier
1346311966
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2934 Issued in NH
Practice address
1900 Lafayette Rd
Ste C
Portsmouth, NH 03801-5679
Phone
(603) 431-5600
Fax
(603) 431-5610
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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 2934 NH Primary

Addresses

Primary practice location

1900 Lafayette Rd
Ste C
Portsmouth, NH 03801-5679

Mailing address

1900 Lafayette Rd
Ste C
Portsmouth, NH 03801-5679
Phone (603) 431-5600

Other identifiers 6

IdentifierTypeStateIssuer
RE8968OtherNHMEDICARE GROUP #
AA79032OtherHARVARD PILGRIM GROUP #
08Y007254NH03OtherNHANTHEM INDIV #
30394988MedicaidNH
098826OtherMEANTHEM MAINE
098826OtherMEANTHEM INDIV # MAINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000592 NH Practitioner - Physical Therapist in Private Practice 0648259820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare Physical Therapy and Hand CenterGroup PAC ID 5890797096, 9 clinicians

Practice addresses (Care Compare)

1900 Lafayette Rd
Portsmouth, NH 03801-5679
Phone (603) 431-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2934NHMDClinical Social Worker
18870CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Physical Therapy and Hand Center Physical Therapist CurrentSince Feb 7, 2016 Accepting new patients

Locations

1900 Lafayette Rd
Ste C
Portsmouth, NH 03801
Phone (603) 431-5600

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1346311966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "STE C",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-5600",
            "fax_number": "603-431-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "STE C",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-5600",
            "fax_number": "603-431-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "RE8968",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM GROUP #",
            "identifier": "AA79032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIV #",
            "identifier": "08Y007254NH03",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30394988",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MAINE",
            "identifier": "098826",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIV # MAINE",
            "identifier": "098826",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.