Individual provider Active NPI

Donna Marie Goldman, PT

  • Neurology Physical Therapist
  • Douglaston, NY
National Provider Identifier
1912094871
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
009399 Issued in NY
Practice address
24214 Pine St
Douglaston, NY 11363-1833
Phone
(917) 680-7363
Fax
(718) 229-2946
NPI assigned
Oct 10, 2006
Last updated
Jul 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 009399 NY Primary

Addresses

Primary practice location

24214 Pine St
Douglaston, NY 11363-1833

Mailing address

24214 Pine St
Douglaston, NY 11363-1833
Phone (917) 680-7363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009399NYMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physical Therapy and Wellness PC CurrentSince Jul 1, 2013 Accepting new patients
Prohealth Care Associates LLP Past Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients
Metropolitan Specialty Physicians Past Accepting new patients

Locations

5 Channel Dr
Port Washington, NY 11050
Phone (516) 757-6856

165 Eileen Way
#2
Syosset, NY 11791
Phone (516) 712-6221

Organizations & group practices 4

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1912094871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24214 PINE ST",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631833",
            "telephone_number": "917-680-7363",
            "fax_number": "718-229-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24214 PINE ST",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631833",
            "telephone_number": "917-680-7363",
            "fax_number": "718-229-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "009399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglaston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.