Individual provider Active NPI

Andrika Goldson

  • Physical Therapy Assistant
  • Orlando, FL
National Provider Identifier
1518377407
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA24636 Issued in FL
Practice address
9500 Satellite Blvd
Orlando, FL 32837-8464
Phone
(407) 859-5656
Fax
(407) 563-5017
NPI assigned
May 1, 2014
Last updated
May 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA24636 FL Primary

Addresses

Primary practice location

9500 Satellite Blvd
Orlando, FL 32837-8464

Mailing address

5759 Crowntree LN
Apt 201
Orlando, FL 32829-8033

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
PTA24636FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1518377407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5759 CROWNTREE LN",
            "address_2": "APT 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 SATELLITE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378464",
            "telephone_number": "407-859-5656",
            "fax_number": "407-563-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSON",
        "first_name": "ANDRIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.