Active NPIIndividual provider

Naomi R Goodman, PT

Physical Therapist in Medford, Massachusetts

NPI Number1881177368
Practice location
4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931
Fax
781-350-3060
Last updated
September 11, 2018

Naomi Ruth Goodman is a Physical Therapist based in Medford, MA. Naomi Ruth Goodman practices in Medford, MA and has the professional credentials of PT. The NPI Number for Naomi Ruth Goodman is 1881177368 and holds a License No. 23734 (MA). The current practice location address for Naomi Ruth Goodman is 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931 and can be reached out via phone at 781-960-6030 and via fax at 781-350-3060.

Provider Profile Details

NPI Number
1881177368
Provider Name
Naomi Ruth Goodman
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931
Phone Number
781-960-6030
Fax Number
781-350-3060
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2018
Last Update Date
September 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
4110 Mystic Valley Pkwy Ste 12
Medford, MA 02155-6931
Zip
02155-6931
Phone Number
781-960-6030
Fax Number
781-350-3060
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
790 Remington Blvd
Bolingbrook, IL 60440-4909
City
Bolingbrook
State
IL
Zip
60440-4909
Phone Number
630-296-2222
Fax Number
630-759-9510

License Information

License Number
23734
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Naomi R Goodman, PT?

The NPI number of Naomi R Goodman, PT is 1881177368. It was assigned on September 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Naomi R Goodman, PT?

Naomi R Goodman, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 23734.

Where does Naomi R Goodman, PT practice?

The practice location is 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931. The office can be reached at 781-960-6030 (phone) or 781-350-3060 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881177368 directly on the NPPES registry website.

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