Stephanie Goodman
Individual provider Active NPI Pediatric Occupational Therapist · Cuero, TX
NPI 1043713274 · NPPES record last updated Apr 13, 2022
Key facts
- NPI
- 1043713274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- Practice address
- 114 W Main St
Cuero, TX 77954-3736 - Phone
- (210) 215-3190
- NPI assigned
- Mar 14, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Yes |
Addresses
Primary practice location
114 W Main St
Cuero, TX 77954-3736
Mailing address
8064 US Highway 183 S
Cuero, TX 77954-5518
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14226873 | Medicaid | TX |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | HummingbirdOT.com/http |
Other providers in Cuero, TX
- Gracie Garcia
- Amanda Garza
- Golden Crescent Pain Management PLLC
- Susie M Gomez
- Jennifer L Gonzales
- Gracia Medical, LLP
- Crystal Dawn Guajardo
- Marisol Guerrero
- H-E-B, LP
- Beverly Claire Haliburton
All providers in Cuero, TX · Pediatric Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.