Individual provider Active NPI

Daniel Frederick Goldstein, PT, OCS, SCS, ATC

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1487785523
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3382 Issued in FL
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

Updated by the provider on Feb 27, 2017

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 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

Enrollment IDStateProvider typePAC IDDetails
I20120525000464 FL Practitioner - Physical Therapist in Private Practice 3678735917 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PT3382FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopaedic & Sports Physical Therapy, Inc. Physical Therapist CurrentSince Jan 29, 2012 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.

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.

Verify at the official NPI Registry.