Active NPI
Danielle Goldberg, PTA
- Physical Therapy Assistant
- Columbus, OH
National Provider Identifier
1700601762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA013043
- Practice address
- 1930 Crown Park CT Ste 100
Columbus, OH 43235-2402 - Phone
- (614) 695-3747
- NPI assigned
- Nov 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA013043 | OH | Primary |
Addresses
Primary practice location
1930 Crown Park CT Ste 100
Columbus, OH 43235-2402
Mailing address
100 Columbus Ave
Delaware, OH 43015-2464
Other practice location 1
9200 Worthington Rd Ste 300
Westerville, OH 43082-7240
Phone (614) 433-0031
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA013043 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1700601762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COLUMBUS AVE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430152464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 CROWN PARK CT STE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352402",
"telephone_number": "614-695-3747"
}
],
"practiceLocations": [
{
"address_1": "9200 Worthington Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430827240",
"country_code": "US",
"telephone_number": "614-433-0031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDBERG",
"first_name": "DANIELLE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA013043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.