Elaina Beth Goldman, MS, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31006269A Issued in IN

Practice address

6925 Parkdale PL
Indianapolis, IN 46254-4673

Phone

(317) 597-4553

Fax

(317) 520-8200

NPI assigned

May 3, 2019

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anew Therapy and Wellness LLCGroup PAC ID 8123415312, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Anew Therapy & Wellness LLC

  • Rehabilitation Clinic/Center
  • Terre Haute, IN
  • NPI 1225792534

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Anew Therapy & Wellness LLC

  • Rehabilitation Clinic/Center
  • Indianapolis, IN
  • NPI 1346002839

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1639734734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 PARKDALE PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544673",
            "telephone_number": "317-597-4553",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ELAINA",
        "middle_name": "BETH",
        "credential": "MS, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006269A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025502",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PROF LICENSING AGENCY - OCCUPATIONAL THERAPY COMMITTEE",
            "identifier": "31006269A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "376880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Golder
• Jeffrey Golder, DDS
• Peter Golder
• Joan Ann Goldfarb, M.S. OTR
• Gili Ariella Goldfrad
• Mitchell Goldman, DO
• Ralph Sebastien Goldman
• Zion Mitchell Goldman
• Jeanine David Goldner, P.T.
• Elizabeth Goldsbury

• Occupational Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.