Active NPI
Daniel Frederick Goldstein, PT, OCS, SCS, ATC
- Physical Therapist
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3382
- Practice address
- 1896 Palm Beach Lakes Blvd
Suite B
West Palm Beach, FL 33409-3513 - Phone
- (561) 371-6021
- Fax
- (561) 686-4815
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PT3382 | FL | Primary |
Addresses
Primary practice location
1896 Palm Beach Lakes Blvd
Suite B
West Palm Beach, FL 33409-3513
Mailing address
1896 Palm Beach Lakes Blvd
Ste 101
West Palm Beach, FL 33409-3510
Phone (561) 371-6021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1896 Palm Beach Lakes Blvd
Suite 101
West Palm Beach, FL 33409-3510
Phone (561) 371-6021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3382 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopaedic & Sports Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy & Sports Medicine | Physical Therapist | Past | Accepting new patients |
| Premier Physical Therapy Sport Medicine Inc | Physical Therapist | Past | Accepting new patients |
Locations
1896 Palm Beach Lakes Blvd
Ste B
West Palm Beach, FL 33409
Phone (561) 371-6021
1896 Palm Beach Lakes Blvd
Ste 101
West Palm Beach, FL 33409
Phone (561) 371-6021
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1487785523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1896 PALM BEACH LAKES BLVD",
"address_2": "STE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093510",
"telephone_number": "561-371-6021",
"fax_number": "561-686-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1896 PALM BEACH LAKES BLVD",
"address_2": "SUITE B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093513",
"telephone_number": "561-371-6021",
"fax_number": "561-686-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "DANIEL",
"middle_name": "FREDERICK",
"name_prefix": "Mr.",
"credential": "PT, OCS, SCS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT3382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.