Kathleen Walsh Goldstein, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013302 Issued in NY

Practice address

342 Oxhead Rd
Stony Brook, NY 11790-2303

Phone

(631) 689-8226

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kathleen Ann Walsh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1356537252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 OXHEAD RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902303",
            "telephone_number": "631-689-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 OXHEAD RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902303",
            "telephone_number": "631-689-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "KATHLEEN",
        "middle_name": "WALSH",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013302",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3857-024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WALSH",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ankit Gohel, PHARMD
• Barbara Jean Goldberg, PHD
• Nancy Grace Golder, R.N.
• Andrew M. Goldfine, MD
• Marc Eliot Goldschmidt, M.D.
• David Micahel Golombos, M.D
• Alexa Gombert, MD
• Carly Isabel Gomes, MD
• Sangel Gomez, MD
• Madeleine Amelia Gondek-Brown

• Physical Therapist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.