Peyton M Goodlett, MS, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

4707 Hunters Point Cir
Louisville, KY 40216-1421

Phone

(502) 836-4363

NPI assigned

Apr 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1023638590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051916",
            "telephone_number": "502-459-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 HUNTERS POINT CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161421",
            "telephone_number": "502-836-4363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Bardstown Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402051916",
            "country_code": "US",
            "telephone_number": "502-459-4647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODLETT",
        "first_name": "PEYTON",
        "middle_name": "M",
        "credential": "MS, OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100665540",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Goodin, PT, DPT, OCS
• Jodi Lynn Goodin, PSYD
• Kara M Goodin, MD
• Robert A Goodin, MD
• Amanda Goodlett
• Avani Atul Goodloe, MFT
• Wesley Paul Goodloe, PHARM.D.
• Anisha Goodman
• Anna Katherine Goodman, AUD
• Brian Robert Goodman, DO

• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.