Active NPI
Judy Goucher, OTRL, CHT
- Hand Occupational Therapist
- Arcata, CA
National Provider Identifier
1013037043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 868
- Practice address
- 3800 Janes Rd
Arcata, CA 95521-4742 - Phone
- (707) 616-5777
- Fax
- (707) 839-5905
- NPI assigned
- Mar 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 868 | CA | Primary |
Addresses
Primary practice location
3800 Janes Rd
Arcata, CA 95521-4742
Mailing address
PO Box 863
Trinidad, CA 95570-0863
Phone (707) 677-0797
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 868 | CA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1013037043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863",
"city": "TRINIDAD",
"state": "CA",
"postal_code": "955700863",
"telephone_number": "707-677-0797",
"fax_number": "707-442-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 JANES RD",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214742",
"telephone_number": "707-616-5777",
"fax_number": "707-839-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUCHER",
"first_name": "JUDY",
"name_prefix": "Ms.",
"credential": "OTRL, CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-31",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.