Eric Gottfried, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03357 Issued in OR

Practice address

1931 NW Mulholland Dr
Roseburg, OR 97470-6500

Phone

(541) 672-5795

NPI assigned

Mar 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Audiology Consultants of Southern Oregon, Inc.

  • Audiologist
  • Roseburg, OR
  • NPI 1003009325
  NPD (past)
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427524388
  NPD (past)

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

{
    "created_epoch": "1489881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489881600000",
    "number": "1770024028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW MULHOLLAND DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706500",
            "telephone_number": "541-672-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW MULHOLLAND DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706500",
            "telephone_number": "541-672-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTFRIED",
        "first_name": "ERIC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-19",
        "last_updated": "2017-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "03357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Gordon, NBCC, NCC, LPC
• Katie Janelle Gorman
• Sylvia K Gosline, M.D.
• Razvan I Gosman, MD
• Allison F Gottfried, RD
• Sherri Gould
• Peter D. Gowing, D.O.
• Connie L Grady, MD
• Jeri C. Graham, LCSW
• Michael F Graham, P.A.-C.

• Physical Therapist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.