Individual provider Active NPI

William Goldsmith, DPT

  • Physical Therapist
  • Dunn, NC
National Provider Identifier
1497519334
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21993 Issued in NC
Practice address
113 S Railroad Ave
Dunn, NC 28334-4853
Phone
(910) 891-1599
Fax
(910) 766-3326
NPI assigned
Feb 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 P21993 NC Primary

Addresses

Primary practice location

113 S Railroad Ave
Dunn, NC 28334-4853

Mailing address

7202 Smith Crossing Dr
Kernersville, NC 27284-0091
Phone (843) 422-2872

Other practice location 1

1575 John Knox Dr
Colfax, NC 27235-9662
Phone (336) 389-4059

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

LicenseStateTypeSpecialty
P21993NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

113 S Railroad Ave
Dunn, NC 28334
Phone (910) 891-1599

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.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1497519334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 SMITH CROSSING DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272840091",
            "telephone_number": "843-422-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S RAILROAD AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344853",
            "telephone_number": "910-891-1599",
            "fax_number": "910-766-3326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 John Knox Dr",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "NC",
            "postal_code": "272359662",
            "country_code": "US",
            "telephone_number": "336-389-4059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.