Jaclyn Goodman

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR01215000 Issued in NJ

Practice address

400 Belchase Dr
Matawan, NJ 07747-9758

Phone

(694) 773-2851

NPI assigned

Dec 3, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246
  NPD

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1053127233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ERIN CT",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086912527",
            "telephone_number": "848-459-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BELCHASE DR",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479758",
            "telephone_number": "694-773-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR01215000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goals in Motion Physical Therapy and Wellness
• Lisa Goldberg, LSCW
• Meryl Goldberg, MSW
• Hunter Goldfarb
• Kelsey Gonzales
• Kathryn Jo Gorga, LAC, ATR-P
• Grace Abounds Counseling & Psychological Consulting
• Grace Abounds Counseling & Psychological Consulting LLC
• Grace Abounds Counseling & Psychological Consulting, LLC
• Grace Abounds Counseling & Psychological Consulting, LLC.

• Pediatric Occupational Therapist in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.