Vicki Lynn Goldberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15988 Issued in MD

Practice address

998 Hospitality Way Ste 101
Aberdeen, MD 21001-1757

Phone

(410) 734-6556

NPI assigned

Dec 10, 2013

Last updated

Apr 22, 2021By the provider in NPPES

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

Other names 1

• Vicki Lynn Pusey Former name

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of Pittsburgh School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preston Rehabilitation and Orthopedic Physical Therapy, IncGroup PAC ID 6002704798, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Preston Rehabilitation & Orthopedic Physical Therapy, Inc

  • Physical Therapist
  • Kingwood, WV
  • NPI 1497700918
  Medicare reassignment Care Compare group
• Drayer Physical Therapy of Maryland LLC

  • Physical Therapist
  • Aberdeen, MD
  • NPI 1780009001
  Medicare reassignment NPD
• Leeann Nelson Physical Therapy, LLC

  • Physical Therapist
  • Elkton, MD
  • NPI 1366640120
  Medicare reassignment
• Drayer Physical Therapy of Maryland LLC

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1184049967
  NPD
• Dynamic Physical Therapy, Inc

  dba Fyzical Therapy and Balance Centers

  • Physical Therapist
  • Morgantown, WV
  • NPI 1487647004
  NPD

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1609207083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-541-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 HOSPITALITY WAY STE 101",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011757",
            "telephone_number": "410-734-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002565E",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "PUSEY",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen George, LGPC
• Robert M Germeroth, PT
• Susan Elaine Gibson, RN
• Helen Gilkes, M.S.
• Janet A Glover
• Goshen Wellness and Behavioral Healthcare
• Grammaton LLC
• Sara Grayson, NCSP
• Robin Simone Griffith, LCSW-C
• Kelly Grimes- Acosta, LGMFT

• Physical Therapist in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.