Dayna Michelle Godfrey, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056011202 Issued in IL

Practice address

4060 Bassen Dr
Swansea, IL 62226-7906

Phone

(618) 972-4810

NPI assigned

Oct 13, 2019

Last updated

Oct 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570924800000",
    "number": "1063054856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 BASSEN DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267906",
            "telephone_number": "618-972-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 BASSEN DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267906",
            "telephone_number": "618-972-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "DAYNA",
        "middle_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "201519499",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056011202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Ganim, DMD, MS
• Gregory T Garrison, M.D.
• Gateway Foundation, Inc.
• Gateway Professional Services, PC
• Katina Glasco
• Makayla Goins
• Susan Kathleen Gooden, BS
• Libby Marie Graef, PHARMD
• Star C. Gravette, L.AC
• Laurie Jansen Gray, LCSW

• Occupational Therapist in Swansea, IL
• Providers in Swansea, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2019; 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.