Individual provider Active NPI

Lawrence Barton Goldman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1366402000
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
28210 Issued in CO
Practice address
1776 S Jackson St
Suite 840
Denver, CO 80210-3801
Phone
(303) 914-0065
Fax
(303) 986-3680
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 28210 CO Primary

Addresses

Primary practice location

1776 S Jackson St
Suite 840
Denver, CO 80210-3801

Mailing address

1776 S Jackson St
Suite 840
Denver, CO 80210-3801
Phone (303) 914-0065

Other identifiers 1

IdentifierTypeStateIssuer
01282102MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304001297 CO Practitioner - Physical Medicine and Rehabilitation 7012805898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Hahneman Medical College of the Pacific, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates of Colorado PCGroup PAC ID 9032006895, 5 clinicians

Practice addresses (Care Compare)

7208 S Tucson Way
Suite 260
Centennial, CO 80112-3989
Phone (303) 792-3022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28210COMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates of Colorado PC Physical Medicine & Rehabilitation CurrentSince Nov 1, 2003 Accepting new patients

Locations

7208 S Tucson Way
Ste 260
Centennial, CO 80112
Phone (303) 792-3022

1776 S Jackson St
Ste 840
Denver, CO 80210
Phone (303) 914-0065

125 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-9200

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1366402000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 840",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "303-914-0065",
            "fax_number": "303-986-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 840",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "303-914-0065",
            "fax_number": "303-986-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "LAWRENCE",
        "middle_name": "BARTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "28210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01282102",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.