Individual provider Active NPI

Katherine E Dell Goldberger, DPT

  • Physical Therapist
  • Norwalk, CT
National Provider Identifier
1386748424
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007365 Issued in CT
Practice address
1 Colony Place
Norwalk, CT 06851
Phone
(203) 853-1754
Fax
(203) 852-6758
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 007365 CT Primary

Addresses

Primary practice location

1 Colony Place
Norwalk, CT 06851

Mailing address

85 Mill Plain Rd
Fairfield, CT 06824-5001
Phone (203) 853-1754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000612 CT Practitioner - Physical Therapist in Private Practice 8628021524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Plus LLCGroup PAC ID 1153576947, 3 clinicians

Practice addresses (Care Compare)

1 Colony St
Norwalk, CT 06851-5801
Phone (203) 853-1754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007365CTMDClinical Social Worker
7365CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Plus, LLC Physical Therapist CurrentSince Apr 10, 2010 Accepting new patients
Greenwich Sports Medicine PC PastSince Aug 14, 2004 Accepting new patients

Locations

85 Mill Plain Rd
Ste V3
Fairfield, CT 06824
Phone (203) 955-1795

1 Colony Pl
Norwalk, CT 06851
Phone (203) 853-1754

Organizations & group practices 2

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1386748424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MILL PLAIN RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245001",
            "telephone_number": "203-853-1754",
            "fax_number": "203-852-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLONY PLACE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-853-1754",
            "fax_number": "203-852-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL GOLDBERGER",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.