Active NPI
Julie L Goff
- Physical Therapist
- Waltham, MA
National Provider Identifier
1750550018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11452
- Practice address
- 411 Waverley Oaks Rd
Waltham, MA 02452-8448 - Phone
- (781) 894-6564
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- 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 | 11452 | MA | Primary |
Addresses
Primary practice location
411 Waverley Oaks Rd
Waltham, MA 02452-8448
Mailing address
24 Adair Rd
Brighton, MA 02135-1728
Phone (617) 787-5574
Other names 1
- Julie Rosenberg
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 |
|---|---|---|---|
| 11452 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1750550018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ADAIR RD",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021351728",
"telephone_number": "617-787-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 WAVERLEY OAKS RD",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024528448",
"telephone_number": "781-894-6564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "JULIE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "ROSENBERG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.