Active NPI
Corey Goldman, DPT
- Orthopedic Physical Therapist
- Shrewsbury, MA
National Provider Identifier
1548076516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 024882
- Practice address
- 571 Boston Turnpike
Ste 3 #1065
Shrewsbury, MA 01545 - Phone
- (774) 279-2492
- NPI assigned
- Dec 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 024882 | MA | Primary |
Addresses
Primary practice location
571 Boston Turnpike
Ste 3 #1065
Shrewsbury, MA 01545
Mailing address
571 Boston Turnpike
Ste 3 #1065
Shrewsbury, MA 01545
Phone (774) 279-2492
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024882 | MA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CG Wellness LLC | Current | Accepting new patients |
Locations
571 Boston Tpke
Ste 3
Shrewsbury, MA 01545
Phone (508) 593-8170
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.
-
- Physical Therapist
- Grafton, MA
- NPI 1114726643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1548076516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 BOSTON TURNPIKE",
"address_2": "STE 3 #1065",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "01545",
"telephone_number": "774-279-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 BOSTON TURNPIKE",
"address_2": "STE 3 #1065",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "01545",
"telephone_number": "774-279-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "COREY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "024882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.