Individual provider Active NPI

Karen E Goldberg, PT

  • Physical Therapist
  • Portsmouth, NH
National Provider Identifier
1851410310
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2935 Issued in NH
Practice address
775 Lafayette Rd Ste 9
Portsmouth, NH 03801-5434
Phone
(603) 431-9700
Fax
(603) 431-9701
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2935 NH Primary

Addresses

Primary practice location

775 Lafayette Rd Ste 9
Portsmouth, NH 03801-5434

Mailing address

775 Lafayette Rd Ste 9
Portsmouth, NH 03801-5434
Phone (603) 431-9700

Other identifiers 1

IdentifierTypeStateIssuer
3078053MedicaidNH

Other names 1

  • Karen E Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000045 NH Practitioner - Physical Therapist in Private Practice 2860471042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sport and Spine Physical Therapy IncGroup PAC ID 4385641844, 13 clinicians

Practice addresses (Care Compare)

775 Lafayette Rd
Suite 9
Portsmouth, NH 03801-5434
Phone (603) 431-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sport and Spine Physical Therapy Inc. Physical Therapist CurrentSince Apr 9, 2007 Accepting new patients
Procare Physical Therapy and Hand Center Physical Therapist PastSince Jan 9, 2007 Accepting new patients

Locations

775 Lafayette Rd
Ste 9
Portsmouth, NH 03801
Phone (603) 431-9700

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1851410310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 LAFAYETTE RD STE 9",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015434",
            "telephone_number": "603-431-9700",
            "fax_number": "603-431-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 LAFAYETTE RD STE 9",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015434",
            "telephone_number": "603-431-9700",
            "fax_number": "603-431-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078053",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SMITH",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.