Keith J Golka

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012434 Issued in NY

Practice address

465 Montauk Highway
Suite B
Sayville, NY 11782

Phone

(631) 567-6421

Fax

(631) 567-3574

NPI assigned

Jul 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Keith Golka Physical Therapy

  • Physical Therapist
  • Sayville, NY
  • NPI 1598671547
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1508895491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MONTAUK HIGHWAY",
            "address_2": "SUITE B",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "11782",
            "telephone_number": "631-567-6421",
            "fax_number": "631-567-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MONTAUK HIGHWAY",
            "address_2": "SUITE B",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "11782",
            "telephone_number": "631-567-6421",
            "fax_number": "631-567-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLKA",
        "first_name": "KEITH",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Dentistry of Lancaster, PLLC
• Michele Germer, LCSW
• Matthew Giardini, LMFT
• Jessica Jean Giorgio, M.S.
• Christine Gizoni, D.C.
• Frank Manuel Gomez Jr., D.C.
• Good Samaritan Hospital Medical Center
• Desiree Goodman, M.S.P.T., D.P.T.
• Kelly Lynn Goodman, PHARMD
• Robert J. Grasso, O.D.

• Physical Therapist in Sayville, NY
• Providers in Sayville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.