Krystyna Goldberg, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.021774 Issued in IL

Practice address

939 Wenonah Ave
Oak Park, IL 60304-1810

Phone

(415) 235-1163

NPI assigned

Nov 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Krystyna Goldberg PT MSPT Inc

  • Physical Therapy Clinic/Center
  • Oak Park, IL
  • NPI 1760007793
  NPD Authorized official

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1518295138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 WENONAH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041810",
            "telephone_number": "415-235-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 WENONAH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041810",
            "telephone_number": "415-235-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "KRYSTYNA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29956",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Carl Gochenour, PHARMD.
• Jayda Lea Goerlich
• Meagan Rae Goes, DNP, APRN, AGPCNP-BC
• Amy Goldbeck-Jozefczyk, MA, LPC, DMT-R
• Katherine N Goldberg, LCPC
• Golden Haven Care, Inc.
• Sarah Goldenberg
• Zoe Goldman, OTR/L
• Cass Goldner, PT
• Abby Gomez de la Casa, LCSW

• Physical Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.