Individual provider Active NPI

Anne Coleman Gould, PT

  • Physical Therapist
  • Newark, NY
National Provider Identifier
1730416157
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031021-1 Issued in NY
Practice address
150 Van Buren St
Newark, NY 14513-1238
Phone
(315) 331-7741
Fax
(315) 331-0566
NPI assigned
Nov 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031021-1 NY Primary
Physical Therapist 225100000X 020295 PA

Addresses

Primary practice location

150 Van Buren St
Newark, NY 14513-1238

Mailing address

150 Van Buren St
Newark, NY 14513-1238
Phone (315) 331-7741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821001633 VA Practitioner - Physical Therapist in Private Practice 1951442862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

44095 Pipeline PLZ
Suite 370
Ashburn, VA 20147-7518
Phone (703) 435-6604

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19257MAMDDentist
031021-1NYMDPhysical Therapist
020295PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Center Orthopaedic Associates, P.C. Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Town Center Orthopaedic Associates PC CurrentSince Aug 26, 2024 Accepting new patients
Fusion - Osmed Mso, LLC PastSince Sep 29, 2024 Accepting new patients
Orthosports & Aquatic Physical Therapy, PC Physical Therapist PastSince Feb 26, 1999 Accepting new patients

Locations

44095 Pipeline Plz
Ste 370
Ashburn, VA 20147
Phone (571) 623-3500

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

Organizations & group practices 4

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": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1730416157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131238",
            "telephone_number": "315-331-7741",
            "fax_number": "315-331-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131238",
            "telephone_number": "315-331-7741",
            "fax_number": "315-331-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ANNE",
        "middle_name": "COLEMAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031021-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "020295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.