Samuel Goldner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15784-24 Issued in WI

Practice address

2626 N 76TH St # 101
Wauwatosa, WI 53213-1137

Phone

(414) 476-9400

Fax

(414) 607-3971

NPI assigned

Jun 14, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Health of Wisconsin LTDGroup PAC ID 4880670835, 2 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 and National Provider Directory roles.

• Affiliated Health of Wisconsin LTD.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wauwatosa, WI
  • NPI 1063433977
  Medicare reassignment Care Compare group
• Midwest Orthopedic Specialty Hospital, LLC

  • Orthopaedic Surgery Physician
  • Franklin, WI
  • NPI 1275127375
  Medicare reassignment NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Menomonee Falls, WI
  • NPI 1144990490
  Medicare reassignment NPD
• LMG, Inc

  • Oral and Maxillofacial Pathology Dentistry
  • Wauwatosa, WI
  • NPI 1134235427
  NPD
• Midwest Orthopedic Specialty Hospital, LLC

  • Rehabilitation Clinic/Center
  • Oak Creek, WI
  • NPI 1811635949
  NPD
• Midwest Orthopedic Specialty Hospital, LLC

  • Durable Medical Equipment & Medical Supplies
  • Muskego, WI
  • NPI 1962238113
  NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1508538158
  NPD
• LMG Inc

  • Oral and Maxillofacial Pathology Dentistry
  • Oak Creek, WI
  • NPI 1073391447
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1679203582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N 76TH ST # 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131137",
            "telephone_number": "414-476-9400",
            "fax_number": "414-607-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N 76TH ST # 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131137",
            "telephone_number": "414-476-9400",
            "fax_number": "414-607-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDNER",
        "first_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15784-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam.goldner@affiliatedhealthofwi.com",
            "affiliation": "N",
            "endpointDescription": "AHOW Email Address",
            "address_1": "2626 N 76th St # 101",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532131137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sam@bulldogperformance.us",
            "affiliation": "N",
            "address_1": "3508 N 54th Blvd",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532162804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• M Jan Goetten, LCSW
• Kara Lynn Goggins, COTA
• Margaret A Gogin, P.T.
• Gold Standard Home Healthcare
• Shiloh Joshua Golden, DMD
• Jill Marie Goldsworthy, LCSW
• Kerri Lynn Golinghorst, MD
• Heidi Jean Gonzalez
• Jennifer L Good, MD
• Carrie Beth Goodman, L.P.N.

• Physical Therapist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.