MEDICARE: JOSEPH PATRICK GOLDSTEIN PT, DPT, MHA, ATC/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	LAT-4321	NC
2	225100000X	Physical Therapist	P23226	NC

General Provider Information

NPI Number	:	1891195640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH PATRICK GOLDSTEIN PT, DPT, MHA, ATC/L

Provider Business Mailing Address
First Line	:	8504 DARTON WAY STE 105
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-9317
Country	:	US
Telephone Number	:	919-706-0520
Fax Number	:

Provider Business Practice Location Address
First Line	:	8504 DARTON WAY STE 105
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-9317
Country	:	US
Telephone Number	:	929-207-1208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2014
Last Update Date	:	03/14/2025

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