Active NPI
Julie Elizabeth Goodhue, OTR
- Occupational Therapist
- Tomah, WI
National Provider Identifier
1043346091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4595-026
- Practice address
- 325 Butts Ave
Tomah, WI 54660-1412 - Phone
- (608) 785-0940
- NPI assigned
- Feb 26, 2007
- 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 | 4595-026 | WI | Primary |
Addresses
Primary practice location
325 Butts Ave
Tomah, WI 54660-1412
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (608) 785-0940
Other practice location 1
310 W Main St
Sparta, WI 54656-2170
Phone (608) 366-5226
Other names 1
- Julie Elizabeth Dewitt
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdewitt25849@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4595-026 | WI | MD | Occupational Therapist |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1043346091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "608-785-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 BUTTS AVE",
"city": "TOMAH",
"state": "WI",
"postal_code": "546601412",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [
{
"address_1": "310 W Main St",
"address_purpose": "LOCATION",
"city": "Sparta",
"state": "WI",
"postal_code": "546562170",
"country_code": "US",
"telephone_number": "608-366-5226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODHUE",
"first_name": "JULIE",
"middle_name": "ELIZABETH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4595-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdewitt25849@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "325 Butts Ave",
"city": "Tomah",
"state": "WI",
"country_code": "US",
"postal_code": "546601412",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JULIE",
"last_name": "DEWITT",
"middle_name": "ELIZABETH",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.