Penny Lauren Goldberg, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 28563 Issued in FL

Practice address

4035 NW 43Rd St
Gainesville, FL 32606-4598

Phone

(352) 692-2135

Fax

(352) 373-2544

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Optimal Education LLC

  • Sports Physical Therapist
  • Gainesville, FL
  • NPI 1063189959
  Medicare reassignment NPD Authorized official
• Request Physical Therapy

  • Physical Therapist
  • Gainesville, FL
  • NPI 1245225085
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1902854797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072249",
            "telephone_number": "352-264-2499",
            "fax_number": "352-373-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064598",
            "telephone_number": "352-692-2135",
            "fax_number": "352-373-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "PENNY",
        "middle_name": "LAUREN",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 28563",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT 28563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaana Tuulikki Gold, D.D.S., PH.D.
• Joann Marie Gold, MD
• Mark S Gold, MD
• Elizabeth Jean Goldberg, ARNP
• Jessica Kirpala Anne Goldberg, LCSW
• Patricia Wilkins Goldblatt, M.D.
• Rhonda Golden
• Andrea C Goldenson, PHARM.D.
• Stephen L Goldfaden, DDS
• Laura Flores Goldfarb, CNM

• Physical Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.