Active NPI
Erin Goddard, OT
- Occupational Therapist
- Roanoke, VA
National Provider Identifier
1083415772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119010972
- Practice address
- 1315 2ND St SW Ste 202
Roanoke, VA 24016-4935 - Phone
- (540) 982-2208
- NPI assigned
- Mar 20, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8260 | TN | |
| Occupational Therapist | 225X00000X | 0119010972 | VA | Primary |
Addresses
Primary practice location
1315 2ND St SW Ste 202
Roanoke, VA 24016-4935
Mailing address
PO Box 8114
Chattanooga, TN 37414-0114
Phone (423) 622-1551
Other practice location 1
2120 Mae Dell Rd
Chattanooga, TN 37421-2455
Phone (423) 622-1551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8260 | TN | MD | Occupational Therapist |
| 0119010972 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellar Medical Services, LLC | Current | Accepting new patients | |
| Stellartherapy Services, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
3074 Claude Ramsey Pkwy
Chattanooga, TN 37421
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Chattanooga, TN
- NPI 1316433238
-
- Speech-Language Pathologist
- Chattanooga, TN
- NPI 1205041811
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1083415772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8114",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374140114",
"telephone_number": "423-622-1551",
"fax_number": "877-856-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 2ND ST SW STE 202",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164935",
"telephone_number": "540-982-2208"
}
],
"practiceLocations": [
{
"address_1": "2120 Mae Dell Rd",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374212455",
"country_code": "US",
"telephone_number": "423-622-1551",
"fax_number": "877-856-7133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODDARD",
"first_name": "ERIN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-20",
"last_updated": "2025-08-28",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "8260",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119010972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.