Individual provider Active NPI

Danielle Goldberg

  • Pediatric Occupational Therapist
  • Washington, DC
National Provider Identifier
1598419947
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0119009503 Issued in VA
Practice address
1301 PA Ave SE BSMT
Washington, DC 20003-3027
Phone
(202) 544-5439
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 210002055 DC
Pediatric Occupational Therapist 225XP0200X 0119009503 VA Primary

Addresses

Primary practice location

1301 PA Ave SE BSMT
Washington, DC 20003-3027

Mailing address

1434 Independence Ave SE Apt 2
Washington, DC 20003-1557
Phone (904) 982-5888

Other practice location 1

153 Summer Terrace Ln
Clarksville, TN 37040-6178
Phone (904) 982-5888

Other practice location 2

2301 Columbia pike
Suite 125
Arlington, VA 22204
Phone (202) 544-5439

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
210002055DCMDPediatric Occupational Therapist
0119009503VAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Skills on the Hill, LLC Occupational Therapist CurrentSince Aug 7, 2022 Accepting new patients

Locations

1301 Pennsylvania Ave SE
Bsmt
Washington, DC 20003
Phone (202) 335-7968

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1598419947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 INDEPENDENCE AVE SE APT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031557",
            "telephone_number": "904-982-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PA AVE SE BSMT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033027",
            "telephone_number": "202-544-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 Summer Terrace Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370406178",
            "country_code": "US",
            "telephone_number": "904-982-5888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Columbia pike",
            "address_2": "Suite 125",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "22204",
            "country_code": "US",
            "telephone_number": "202-544-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "DC",
            "license": "210002055",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119009503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.