Golden Age Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17184

Legal business name

GOLDEN AGE THERAPY LLC

Practice address

313 Lorraine Dr
Rockville, MD 20852-4144

Phone

(240) 483-6804

NPI assigned

May 31, 2013

Organization subpart

No

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

Authorized official

Name

Gil Nave

Title

President

Phone

(240) 483-6804

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1407293384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 LORRAINE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524144",
            "telephone_number": "240-483-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 LORRAINE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524144",
            "telephone_number": "240-483-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "NAVE",
        "authorized_official_first_name": "GIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-483-6804"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": "17184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Goldberg, M.D.
• Paul Michael Goldberg, D.O.
• Paula Rachel Goldberg, LCSW C LICSW
• Rachel Goldberg, OTR/L
• Iris Eve Goldblatt, LMFT
• Caitlin Golden
• Lana Anne Goldenberg, OTD, OTR/L
• Andrea Moss Goldensohn, PSYD
• Amanda Carmel Goldfarb, MD
• Jessica Golding, OTR/L

• Physical Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.