Active NPI
Debora Goldberg
- Occupational Therapist
- Wynnewood, PA
National Provider Identifier
1972413995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC021601
- Practice address
- 308 E Lancaster Ave Ste 315
Wynnewood, PA 19096-2150 - Phone
- (856) 426-2378
- NPI assigned
- Sep 10, 2026
- 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 | OC021601 | PA | Primary |
Addresses
Primary practice location
308 E Lancaster Ave Ste 315
Wynnewood, PA 19096-2150
Mailing address
1708 Lark LN
Cherry Hill, NJ 08003-3215
Phone (856) 426-2378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1972413995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 LARK LN",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033215",
"telephone_number": "856-426-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E LANCASTER AVE STE 315",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962150",
"telephone_number": "856-426-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "DEBORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC021601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.