Cameron Goodman, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7686 Issued in TN

Practice address

113 Cumberland Ave Ste 110
Madison, TN 37115-3339

Phone

(731) 234-7647

NPI assigned

Aug 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapy & Learning Center Inc

  • Clinic/Center
  • Jackson, TN
  • NPI 1780395830
  Medicare reassignment NPD
• Therapy & Learning Center Inc

  • Rehabilitation Clinic/Center
  • Jackson, TN
  • NPI 1013037159
  NPD (past)

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1043993322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CHURCH ST APT 452",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033677",
            "telephone_number": "731-234-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CUMBERLAND AVE STE 110",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153339",
            "telephone_number": "731-234-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "CAMERON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Kathryn Gilfert
• Giog Sing T. PO, MD & Divina T. PO, MD,PC
• Diana Nicolae Glasser
• Cameron X. Goldsborough, PHARMD
• Elizabeth Gonzalez, RN, BSN
• Raymond Lamar Google Sr.
• Kyle D Gordon
• Levi Morgan Gowen
• McCallister Gowing
• Gowo Affordable Care, LLC

• Occupational Therapist in Madison, TN
• Providers in Madison, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.

Verify at the official NPI Registry.