Active NPI
Holly Goldin, PT
- Physical Therapist
- Marietta, GA
National Provider Identifier
1760728299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008414
- Practice address
- 818 Church St NE
Marietta, GA 30060-8969 - Phone
- (770) 974-7494
- NPI assigned
- Jan 3, 2013
- 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 | PT008414 | GA | Primary |
Addresses
Primary practice location
818 Church St NE
Marietta, GA 30060-8969
Mailing address
805 Sandy Plains Rd
Marietta, GA 30066-6340
Phone (770) 792-5284
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of Ga PC | Physical Therapist | Past | Accepting new patients |
| Wellstar Health Ventures, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba WellStar OrthoSport
- Physical Therapy Clinic/Center
- Kennesaw, GA
- NPI 1932486131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1760728299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340",
"telephone_number": "770-792-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608969",
"telephone_number": "770-974-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDIN",
"first_name": "HOLLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-03",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.