Amy L Goldstein, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018491 Issued in IL

Practice address

3717 N Ravenswood Ave Ste 110
Chicago, IL 60613-3880

Phone

(773) 770-3682

Fax

(773) 305-7767

NPI assigned

Jun 6, 2011

Last updated

May 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy L Bauer Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Endurance Physical Therapy PLLCGroup PAC ID 2365849890, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endurance Physical Therapy PLLC

  • Sports Physical Therapist
  • Northbrook, IL
  • NPI 1679168751
  Medicare reassignment Care Compare group NPD Authorized official
• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1407140627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 N RAVENSWOOD AVE STE 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133880",
            "telephone_number": "773-770-3682",
            "fax_number": "773-305-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 N RAVENSWOOD AVE STE 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133880",
            "telephone_number": "773-770-3682",
            "fax_number": "773-305-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BAUER",
            "middle_name": "L",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jean B Goldsmith, PHD
• Rachel Goldsmith, LMFT
• Rachel Evelyn Goldsmith, PH.D.
• Goldstein Emotion-Focused Therapy LLC
• Goldstein Neuropsychologists PC (Michigan Avenue Neuropsychologists)
• Audrey Goldstein
• Brittany Goldstein, MD
• Courtney Goldstein, LPC
• Deborah Goldstein, A.P.N.
• Debra A Goldstein, MD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.