Individual provider Active NPI

Aaron Samson Goldstein

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1992291769
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5293 Issued in NM
Practice address
333 W Cordova Rd
Santa Fe, NM 87505-1850
Phone
(914) 471-2405
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5293 NM Primary

Addresses

Primary practice location

333 W Cordova Rd
Santa Fe, NM 87505-1850

Mailing address

333 W Cordova Rd
Santa Fe, NM 87505-1850
Phone (505) 984-9101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025000152 NM Practitioner - Physical Therapist in Private Practice 2769735596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Solutions LLCGroup PAC ID 1658473624, 7 clinicians

Practice addresses (Care Compare)

333 W Cordova Rd
Suite 100
Santa Fe, NM 87505-1852
Phone (505) 984-9101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC CurrentSince Jul 1, 2018 Accepting new patients
Santa Fe Physical Therapy Center Inc Past Accepting new patients

Locations

333 W Cordova Rd
Santa Fe, NM 87505
Phone (505) 984-8998

333 W Cordova Rd
Ste 100
Santa Fe, NM 87505
Phone (505) 984-9101

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1992291769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W CORDOVA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051850",
            "telephone_number": "505-984-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORDOVA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051850",
            "telephone_number": "914-471-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "AARON",
        "middle_name": "SAMSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.