JONATHAN GOLDBERG (DPT) – Physical Therapist, NPI 1174976070

JONATHAN GOLDBERG (DPT) is a healthcare provider. based in Boca raton, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT29015 (FL). The NPI Number for JONATHAN GOLDBERG (DPT) is 1174976070

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN GOLDBERG (DPT)
NPI
1174976070
Phone
(561) 392-5940
Address
6343 Via De Sonrisa Del Sur
Enumeration Date
15 July 2016
Last Update Date
13 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5614320111
Graduation Year
2012 (14 years ago)
PAC ID
5395142020
Group Practice PAC ID
1052306271
Professional Enrollment ID
I20210923001165
Address ID
FL334676586LA6169XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JONATHAN GOLDBERG (DPT)

  • 6343 Via De Sonrisa Del Sur

    Boca Raton, FL 334338211

    Phone: (561) 392-5940

    Type: Location

  • 536, Old Howell Road, McSwain Gardens, Greenville County, South Carolina, 29615, United States

    GREENVILLE, SC 296151969

    Phone: (877) 508-3237

    Type: Mailing

  • 6343 VIA DE SONRISA DEL SUR

    BOCA RATON, FL 334338211

    Phone: (561) 392-5940

    Type: Location

  • 6601 NW 25TH AVE

    BOCA RATON, FL 334962015

    Phone: (561) 432-0111

    Fax: (561) 432-1075

    Type: Mailing

  • 6169 S JOG RD STE A11

    LAKE WORTH, FL 334676586

    Phone: (561) 432-0111

    Fax: (561) 432-0111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210923001165IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33433)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052306271View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
-WV
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeTX
-FL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How is JONATHAN GOLDBERG (DPT) identified in CMS data?
CMS-hosted NPPES data lists JONATHAN GOLDBERG (DPT) with NPI 1174976070.
Is JONATHAN GOLDBERG (DPT) still practicing?
JONATHAN GOLDBERG (DPT) is currently listed as active in the public NPI registry.
What is JONATHAN GOLDBERG (DPT)'s primary classification?
Physical Therapist is the headline specialty for JONATHAN GOLDBERG (DPT) here. Clinical services aligned with this taxonomy classification.
What area does JONATHAN GOLDBERG (DPT) serve?
JONATHAN GOLDBERG (DPT)'s listing highlights Boca Raton, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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