Victoria Leigh Goldson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039678 Issued in NY

Practice address

66 Commack Rd
Suite 300
Commack, NY 11725-3405

Phone

(631) 486-5286

Fax

(631) 486-5287

NPI assigned

Dec 11, 2015

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

• Victoria Leigh Wilson Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackensack Meridian Outpatient Services, Inc.Group PAC ID 7113392812, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hackensack Meridian Outpatient Services, Inc.

  • Physical Therapist
  • Clark, NJ
  • NPI 1982381026
  Medicare reassignment Care Compare group NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Sicklerville, NJ
  • NPI 1215487772

  Physical Therapist

  Medicare reassignment NPD
• American Edge Physical Therapy, P.C.

  • Physical Medicine & Rehabilitation Physician
  • East Meadow, NY
  • NPI 1679173579

  NJ

  Medicare reassignment
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Whitestone, NY
  • NPI 1487104261

  Physical Therapist

  NPD
• Hackensack Meridian Outpatient Services, Inc.

  • Physical Therapist
  • Eatontown, NJ
  • NPI 1336829670
  NPD
• Hackensack Meridian Outpatient Services, Inc.

  • Radiology Clinic/Center
  • Freehold, NJ
  • NPI 1396569125
  NPD

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1366817652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 UTOPIA PKWY",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113574142",
            "telephone_number": "718-819-6805",
            "fax_number": "347-841-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COMMACK RD",
            "address_2": "SUITE 300",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253405",
            "telephone_number": "631-486-5286",
            "fax_number": "631-486-5287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241813",
            "country_code": "US",
            "telephone_number": "855-660-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSON",
        "first_name": "VICTORIA",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02116500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "WILSON",
            "middle_name": "LEIGH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gold Coast Dermatology PC
• Gold Coast Physical Therapist and Physical Therapy Assistant PLLC
• Brian Goldberg, PSY.D., BCBA-D
• Zoe Goldberg, MD
• Robert Goldman, PSY.D.
• Karah Goldstein, MHC-LP
• Susan Amy Goldstein, MS SPECIAL ED.
• Ivette G Gomez, RN
• Teresa M Goncalves, ANP-C
• Melissa Gordillo-Gomez, MHC-LP

• Physical Therapist in Commack, NY
• Providers in Commack, 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 Dec 3, 2024; 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.