# GOLDMAN PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** David Victor Goldman, MSPT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205168457
- **Authorized official:** MR. DAVID V GOLDMAN MSPT (OWNER)
- **Authorized official phone:** (646) 321-2639

## Contact information

- **Practice address:** 20 NORDHOFF PL FL 2, THE GYM, ENGLEWOOD, NJ 07631-4811
- **Practice address phone:** (201) 567-9399
- **Practice address fax:** (201) 567-9394
- **Mailing address:** 20 NORDHOFF PL FL 2, THE GYM, ENGLEWOOD, NJ 07631-4811
- **Mailing address phone:** (201) 567-9399
- **Mailing address fax:** (201) 567-9394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01155800 | NJ | Yes |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 07/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 40QA01155800 | NJ LICENSE | NJ |
| 01 | — | G4194239 | OXFORD -OUT OF NETWRK | NJ |
| 01 | — | P4064332 | OXFORD HEALTH - OON | NJ |
| 01 | — | ZL5614 | HEALTHNET | NJ |