Active NPI
Jennifer Michelle Goldberg, OTR/L
- Occupational Therapist
- Boca Raton, FL
National Provider Identifier
1922536101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18408
- Practice address
- 8470 Via Romana Apt 2
Boca Raton, FL 33496-4322 - Phone
- (561) 504-5101
- NPI assigned
- May 31, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18408 | FL | Primary |
Addresses
Primary practice location
8470 Via Romana Apt 2
Boca Raton, FL 33496-4322
Mailing address
8470 Via Romana Apt 2
Boca Raton, FL 33496-4322
Phone (561) 504-5101
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18408 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922536101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8470 VIA ROMANA APT 2",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334964322",
"telephone_number": "561-504-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8470 VIA ROMANA APT 2",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334964322",
"telephone_number": "561-504-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "18408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.