Active NPI
Judith Auma Goddard, MOT
- Occupational Therapist
- Joplin, MO
National Provider Identifier
1013230747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2009026759
- Practice address
- 5195 Magnolia Dr
Joplin, MO 64801-6406 - Phone
- (417) 684-7415
- NPI assigned
- Mar 9, 2010
- 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 | 2009026759 | MO | Primary |
Addresses
Primary practice location
5195 Magnolia Dr
Joplin, MO 64801-6406
Mailing address
5195 Magnolia Dr
Joplin, MO 64801-6406
Phone (417) 684-7415
Other practice location 1
904 E Elizabeth St
Republic, MO 65738-2299
Phone (417) 599-9984
Other practice location 2
1540 E Evergreen St
Springfield, MO 65803-4300
Phone (417) 823-2900
Other practice location 3
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 257-5959
Other names 1
- Judith Auma Bone
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Occupational Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Brainwings, LLC | Occupational Therapist | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Occupational Therapist
- Republic, MO
- NPI 1306443817
-
- Rehabilitation Practitioner
- Joplin, MO
- NPI 1740916451
Occupational Therapist
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013230747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5195 MAGNOLIA DR",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648016406",
"telephone_number": "417-684-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5195 MAGNOLIA DR",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648016406",
"telephone_number": "417-684-7415"
}
],
"practiceLocations": [
{
"address_1": "904 E Elizabeth St",
"address_purpose": "LOCATION",
"city": "Republic",
"state": "MO",
"postal_code": "657382299",
"country_code": "US",
"telephone_number": "417-599-9984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1540 E Evergreen St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658034300",
"country_code": "US",
"telephone_number": "417-823-2900",
"fax_number": "417-886-2774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 N Kentucky Ave",
"address_purpose": "LOCATION",
"city": "West Plains",
"state": "MO",
"postal_code": "657752029",
"country_code": "US",
"telephone_number": "417-257-5959",
"fax_number": "417-257-5814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODDARD",
"first_name": "JUDITH",
"middle_name": "AUMA",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2022-07-21",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2009026759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "BONE",
"middle_name": "AUMA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.