Individual provider Active NPI

Jonathan Goldberg, PT

  • Physical Therapist
  • Pompano Beach, FL
National Provider Identifier
1720197304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18039 Issued in FL
Practice address
572 E McNab Rd
Pompano Beach, FL 33060-9355
Phone
(954) 738-1709
Fax
(954) 738-1699
NPI assigned
Aug 29, 2006
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 PT18039 FL Primary

Addresses

Primary practice location

572 E McNab Rd
Pompano Beach, FL 33060-9355

Mailing address

6245 N Federal Hwy
Suite 300
Fort Lauderdale, FL 33308-1998
Phone (954) 956-1966

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000275 FL Practitioner - Physical Therapist in Private Practice 3476599093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

7857 N University Dr
PT Fla PKL
Parkland, FL 33067-2600
Phone (954) 518-7000

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Jan 22, 2018 Accepting new patients
Dean L Fishman D.C., P.a. CurrentSince Jul 23, 2012 Accepting new patients
Sunrise Medical Group I, LLC Physical Therapist PastSince Aug 23, 2020 Accepting new patients
Sunrise Medical Group Inc Physical Therapist Past Accepting new patients
Weston Physical Medicine PA Past Accepting new patients

Locations

7857 N University Dr
Fl Pkl
Parkland, FL 33067
Phone (954) 518-7000

1751 N University Dr
Plantation, FL 33322
Phone (954) 577-6161

3100 Weston Rd
Weston, FL 33331
Phone (954) 689-5000

20201 Saddle Club Rd
Weston, FL 33327
Phone (954) 659-5370

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4

Organizations & group practices 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720197304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N FEDERAL HWY",
            "address_2": "SUITE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081998",
            "telephone_number": "954-956-1966",
            "fax_number": "954-745-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 E MCNAB RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609355",
            "telephone_number": "954-738-1709",
            "fax_number": "954-738-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JONATHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

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.