Krystyna Goldberg PT MSPT Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KRYSTYNA GOLDBERG PT MSPT INC

Practice address

939 Wenonah Ave
Oak Park, IL 60304-1810

Phone

(415) 235-1163

NPI assigned

Jun 16, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krystyna GoldbergNPI 1518295138

Title

President

Phone

(415) 235-1163

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krystyna Goldberg, MSPT

  • Physical Therapist
  • Oak Park, IL
  • NPI 1518295138
  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1760007793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 WENONAH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 WENONAH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041810",
            "telephone_number": "415-235-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTYNA GOLDBERG PT MSPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "KRYSTYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-235-1163"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Kritzer, MT-BC
• Brianna M Krokaugger, DPT
• Michael Thomas Kronon, MD
• Daniel M. Kruss, MD
• Katelyn Ann Kruszynski, OTR/L
• Madeline S Kubiak, M.A. CCC-SLP
• Courtney Kuchan
• Michal Kuczek, DPT
• Ashley Kuhl Piwowarski, PSY.D.
• Paul Anthony Kungl, MD

• Physical Therapy Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.