Individual provider Active NPI

Eric Goldberg, P.T.

  • Physical Therapist
  • Chelsea, MA
National Provider Identifier
1720101017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
99 4TH St
Suite 102
Chelsea, MA 02150-2358
Phone
(617) 889-2500
Fax
(617) 889-2511
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

99 4TH St
Suite 102
Chelsea, MA 02150-2358

Mailing address

99 Fourth Street
Suite 102
Chelsea, MA 02150
Phone (617) 889-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000231 MA Practitioner - Physical Therapist in Private Practice 8921166950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Miami, LM Miller School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy IncGroup PAC ID 2567520596, 8 clinicians

Practice addresses (Care Compare)

99 4TH St
Suite 102
Chelsea, MA 02150-2336
Phone (617) 889-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15466MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy, Inc. Current Accepting new patients
Performance Physical Therapy, Inc. Physical Therapist CurrentSince Jul 15, 2008 Accepting new patients
Byron V Hartunian MD PC Past Accepting new patients

Locations

99 4th St
#102
Chelsea, MA 02150
Phone (617) 889-2500

99 4th St
Ste 102
Chelsea, MA 02150
Phone (617) 889-2500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720101017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 FOURTH STREET",
            "address_2": "SUITE 102",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "02150",
            "telephone_number": "617-889-2500",
            "fax_number": "617-889-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 4TH ST",
            "address_2": "SUITE 102",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502358",
            "telephone_number": "617-889-2500",
            "fax_number": "617-889-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.