Active NPI
Jeffrey Scott Goldman, MSPT
- Physical Therapist
- Norwood, MA
National Provider Identifier
1750459079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10240
- Practice address
- 825 Washington St
Ste 280 Physical Therapy & Sports Rehab Inc
Norwood, MA 02062 - Phone
- (781) 769-2040
- Fax
- (781) 769-1914
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 10240 | MA | Primary |
Addresses
Primary practice location
825 Washington St
Ste 280 Physical Therapy & Sports Rehab Inc
Norwood, MA 02062
Mailing address
59 Kenilworth St
Newton, MA 02458-2705
Phone (781) 769-2040
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57043 | Other | FALLON | |
| Y67543 | Other | BCBS | |
| 468123 | Other | TUFTS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10240 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weiss Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Physical Therapy & Sports Rehab Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy and Sports Rehab, Inc | Past | Accepting new patients |
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.
-
- Physical Therapist
- Newton, MA
- NPI 1497225312
-
- Physical Therapy Clinic/Center
- Norwood, MA
- NPI 1073681300
Physical Therapist
-
- Occupational Therapist
- Norwood, MA
- NPI 1932539269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1750459079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 KENILWORTH ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582705",
"telephone_number": "781-769-2040",
"fax_number": "781-769-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 WASHINGTON ST",
"address_2": "STE 280 PHYSICAL THERAPY & SPORTS REHAB INC",
"city": "NORWOOD",
"state": "MA",
"postal_code": "02062",
"telephone_number": "781-769-2040",
"fax_number": "781-769-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "57043",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y67543",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "468123",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.