Active NPI
Donna Marie Goldman, PT
- Neurology Physical Therapist
- Douglaston, NY
National Provider Identifier
1912094871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 009399
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009399 | NY | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Physical Therapy and Wellness PC | Current | 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.
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- NPI 1659589083
-
- Internal Medicine Physician
- Lake Success, NY
- NPI 1275596280
-
- Physical Therapist
- Carmel, NY
- NPI 1508324898
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.