AUSTIN GOLDENBERG (DPT) – Physical Therapist, NPI 1659867497

AUSTIN GOLDENBERG (DPT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT03054 (RI). The NPI Number for AUSTIN GOLDENBERG (DPT) is 1659867497

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN GOLDENBERG (DPT)
NPI
1659867497
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
5 July 2018
Last Update Date
3 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812370400
Graduation Year
2017 (9 years ago)
PAC ID
9436409612
Group Practice PAC ID
1355375486
Professional Enrollment ID
I20210302001513
Address ID
MA024813208WE54XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for AUSTIN GOLDENBERG (DPT)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 1 KENDALL SQ STE B14104

    CAMBRIDGE, MA 021391573

    Phone: (617) 491-0264

    Type: Location

  • 535, Centerville Road, Warwick, Kent County, Rhode Island, 02886, United States

    WARWICK, RI 028864486

    Phone: (401) 737-6011

    Fax: (401) 737-4811

    Type: Mailing

  • 285, Governor Street, Wayland, Providence, Providence County, Rhode Island, 02906, United States

    PROVIDENCE, RI 029063237

    Phone: (401) 276-0800

    Fax: (407) 276-0808

    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: 2021-03-02

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
I20210302001513IPhysical Therapist In Private PracticeMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities14412$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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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: 1355375486View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVI
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

How is AUSTIN GOLDENBERG (DPT) identified in CMS data?
CMS-hosted NPPES data lists AUSTIN GOLDENBERG (DPT) with NPI 1659867497.
Does CMS list AUSTIN GOLDENBERG (DPT) as active?
Yes — AUSTIN GOLDENBERG (DPT) is active in the NPI listing used on this page.
What is AUSTIN GOLDENBERG (DPT) best known for clinically?
Directory data describes AUSTIN GOLDENBERG (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for AUSTIN GOLDENBERG (DPT)?
AUSTIN GOLDENBERG (DPT)'s geographic hint is Bolingbrook, Illinois in our summary view.
Is the information about AUSTIN GOLDENBERG (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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