Individual provider Active NPI

Kathleen Goldberg, PT, DPT

  • Physical Therapist
  • Bartlett, TN
National Provider Identifier
1881008746
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9968 Issued in TN
Practice address
8385 US Highway 64 Ste 116
Bartlett, TN 38133-8187
Phone
(901) 504-6011
NPI assigned
Jun 18, 2014
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 9968 TN Primary

Addresses

Primary practice location

8385 US Highway 64 Ste 116
Bartlett, TN 38133-8187

Mailing address

PO Box 147
Ellendale, TN 38029-0147
Phone (901) 335-2360

Other practice location 1

6050 Airline Rd Ste 106
Arlington, TN 38002-4894
Phone (901) 867-8989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220114002081 TN Practitioner - Physical Therapist in Private Practice 8921490335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

2868 Summer Oaks Dr
Suite 104
Bartlett, TN 38134-2818
Phone (213) 898-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9968TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leader Physical Therapy Limited Partnership Physical Therapist Current Accepting new patients
Leader Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Rehab, Etc., Inc. Physical Therapist Past Accepting new patients

Locations

2961 Canada Rd
Ste 107
Lakeland, TN 38002
Phone (901) 866-9239

5039 Park Ave
Ste 102
Memphis, TN 38117
Phone (901) 818-9746

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1881008746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "ELLENDALE",
            "state": "TN",
            "postal_code": "380290147",
            "telephone_number": "901-335-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 US HIGHWAY 64 STE 116",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338187",
            "telephone_number": "901-504-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 Airline Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TN",
            "postal_code": "380024894",
            "country_code": "US",
            "telephone_number": "901-867-8989",
            "fax_number": "901-867-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.