Active NPI
Emma Grace Goldman, PT
- Physical Therapist
- Gonzales, LA
National Provider Identifier
1427748698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11469
- Practice address
- 1227 E Highway 30
Gonzales, LA 70737-4761 - Phone
- (225) 647-2060
- Fax
- (225) 647-2062
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11469 | LA | Primary |
Addresses
Primary practice location
1227 E Highway 30
Gonzales, LA 70737-4761
Mailing address
530 Shadows LN
Baton Rouge, LA 70806-6530
Phone (225) 231-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11469 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BRPT-Lake Rehabilitation Centers, LLC | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Baton Rouge, LA
- NPI 1093797722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1427748698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 SHADOWS LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066530",
"telephone_number": "225-231-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E HIGHWAY 30",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374761",
"telephone_number": "225-647-2060",
"fax_number": "225-647-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "EMMA",
"middle_name": "GRACE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "11469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
- Jennifer Jennings Gibson, APRN, FNP-C
- Courtney Gilmer
- Simone Giroir, M.S., CF-SLP
- Andrea Theresa Gisclair, PHARMD
- Deborah Glover, LCSW-BACS
- Gonzales Dental Clinic, LTD. a Professional Dental Corporation
- Gonzales Endoscopy Center LLC
- Michael Albert Goodier, M.D.
- GPS Acute Care Pharmacy
- Grace Line Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.