Healthcare Provider Details

I. General information

NPI: 1487578076
Provider Name (Legal Business Name): DAVID GOLDBERG DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 NE 25TH ST STE 103
MIAMI FL
33137-4852
US

IV. Provider business mailing address

465 BRICKELL AVE APT 3704
MIAMI FL
33131-4015
US

V. Phone/Fax

Practice location:
  • Phone: 305-735-8901
  • Fax:
Mailing address:
  • Phone: 718-213-8865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45133
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: