Henry Goldberg, MA, OTR, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

000727-1 Issued in NY

Practice address

1505 Wigwam Pkwy
Suite 240
Henderson, NV 89074-8194

Phone

(702) 568-0195

Fax

(702) 568-0365

NPI assigned

Oct 24, 2006

Last updated

Dec 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1346324548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 80TH ST APT 10E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100247144",
            "telephone_number": "917-723-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WIGWAM PKWY",
            "address_2": "SUITE 240",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748194",
            "telephone_number": "702-568-0195",
            "fax_number": "702-568-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "MA, OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "000727-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hand Occupational Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Hand Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.