Trista Goetz, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21884 Issued in FL

Practice address

290 Clyde Morris Blvd Ste A1
Ormond Beach, FL 32174-8204

Phone

(386) 898-0443

Fax

(386) 898-0459

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ability Health Services and Rehabilitation LP

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1447950340

  FL

  Medicare reassignment Care Compare group NPD
• Ability Health Services and Rehabilitation LP

  • Rehabilitation Clinic/Center
  • Sanford, FL
  • NPI 1295279990
  Care Compare group NPD
• Ability Health Services and Rehabilitation LP

  • Rehabilitation Clinic/Center
  • Largo, FL
  • NPI 1376089649
  NPD (past)

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services and Rehabilitation LP 1,260 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2021.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1003483397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BROAD ST # 203",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613006",
            "telephone_number": "386-898-0443",
            "fax_number": "386-898-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CLYDE MORRIS BLVD STE A1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748204",
            "telephone_number": "386-898-0443",
            "fax_number": "386-898-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "TRISTA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H Phillip Glazner, R. PH
• April May Gleason, LMMT
• Lolether Elester Glover-Crooms
• Chelsey Devon Godbey, COTA/L
• Beth Ellen Goerlitz, CCC., SLP
• Golden Abbey Enterprises, Inc
• Bonnie S Goldman
• Parker Goldstein, DMD
• Luis Gomez, ARNP
• Lisa Gonsalves, M.D.

• All providers in Ormond Beach, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.