Mary Golob, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1037 Issued in NC

Practice address

8044 Market St
Wilmington, NC 28411-9384

Phone

(910) 686-6440

Fax

(910) 686-6441

NPI assigned

Jul 17, 2006

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 identifiers 1

Other names 1

• Ms. Mary Golob Fussell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1841217304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 FUTCH CREEK RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119373",
            "telephone_number": "910-686-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119384",
            "telephone_number": "910-686-6440",
            "fax_number": "910-686-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOB",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "079WH",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FUSSELL",
            "middle_name": "GOLOB",
            "prefix": "MS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ariana Candace Goldstein, MD
• Heather Goldstein, PA
• Jessica Goldstein
• Michael S Goldwasser, DDS, MD
• Elizabeth Goll, ANP-C
• Taylor Gomes, DC
• Gertrude K Gomez, MSW, P-LCSW
• Alicia Josephine Gonzales
• Armando P Gonzalez, PAC
• Eugenio De Jesus Gonzalez, PAC

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.