Brandon Goulding, MSCPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

037174 Issued in NY

Practice address

152 E 118TH St
Triumph Physical Therapy
New York, NY 10035-4087

Phone

(212) 987-6500

NPI assigned

Jun 17, 2014

Last updated

May 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triumph Physical Therapy PLLCGroup PAC ID 5294892402, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Triumph Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1508025552
  Medicare reassignment Care Compare group NPD
• Be Kind Physical Therapy PLLC

  • Physical Therapist
  • Sunnyside, NY
  • NPI 1841096757
  NPD Authorized official

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1558775528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 E 118TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354087",
            "telephone_number": "212-987-6500",
            "fax_number": "212-987-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E 118TH ST",
            "address_2": "TRIUMPH PHYSICAL THERAPY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354087",
            "telephone_number": "212-987-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDING",
        "first_name": "BRANDON",
        "credential": "MSCPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04541975",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13767497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy Bruce Gould, DO
• Roger Louis Gould, MD
• Thomas Michael Gould, M.D.
• Anabelle Gouldbourne
• Peter Anthony Goulden
• Samantha Gabrielle Goulding, MD, MPH
• Matthew C Goulet, M.D.
• Nicole Goulet, M.D.
• Helen Cassandra Goulimis, D.D.S.
• Alina Gouller, MD

• Physical Therapist in New York, NY
• Providers in New York, 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 May 15, 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.