Individual provider Active NPI

Judith Auma Goddard, MOT

  • Occupational Therapist
  • Joplin, MO
National Provider Identifier
1013230747
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2009026759 Issued in MO
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

OrganizationSpecialtyStatusNew patients
Outreach Occupational Therapy LLC Occupational Therapist CurrentSince Jul 1, 2022 Accepting new patients
Brainwings, LLC Occupational Therapist CurrentSince Oct 11, 2020 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.

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.

Verify at the official NPI Registry.