Active NPI
Carolyn Marie Goff, MS OTR/L
- Occupational Therapist
- Leesport, PA
National Provider Identifier
1003477753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC016126
- Practice address
- 1011 Berk Rd
Leesport, PA 19533-8705 - Phone
- (610) 376-4841
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC016126 | PA | Primary |
Addresses
Primary practice location
1011 Berk Rd
Leesport, PA 19533-8705
Mailing address
324 Amy CT Apt 2
Shillington, PA 19607-1101
Phone (610) 763-6464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC016126 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1003477753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 AMY CT APT 2",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196071101",
"telephone_number": "610-763-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 BERK RD",
"city": "LEESPORT",
"state": "PA",
"postal_code": "195338705",
"telephone_number": "610-376-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "CAROLYN",
"middle_name": "MARIE",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC016126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.