Nadja C Goulart, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02599 Issued in RI

Practice address

1401 Douglas Ave
North Providence, RI 02904-4058

Phone

(401) 726-7100

Fax

(401) 433-0612

NPI assigned

Aug 1, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nadja C Adams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay State Physical Therapy PC

  • Physical Therapist
  • Attleboro, MA
  • NPI 1194387191
  NPD

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801228861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ",
            "address_2": "STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-946-4250",
            "fax_number": "401-275-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DOUGLAS AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044058",
            "telephone_number": "401-726-7100",
            "fax_number": "401-433-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULART",
        "first_name": "NADJA",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADJA",
            "last_name": "ADAMS",
            "middle_name": "C",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald C Gobeil, DO
• David Julian Goldstein, D.O.
• Gonzalez Counseling LLC
• Elise A Gonzalez
• Lenty Gordon, M.A., C.A.G.S, LMHC
• Alexa Tomissa Grande, PA
• Greater Providence Chapter,Riarc (John E. Fogarty Center)
• Greater Providence Chapter,Riarc (John E. Fogarty Center)
• Greater Providence Chapter,Riarc (John E. Fogarty Center)
• Linda J Hanna-Trad, MD

• Physical Therapist in North Providence, RI
• Providers in North Providence, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.