Christina Noelle Goughenour, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.005763 Issued in IL

Practice address

2100 S Finley Rd
Lombard, IL 60148-4830

Phone

(630) 495-4000

NPI assigned

Jul 17, 2011

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310860800000",
    "number": "1093003618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 KENSINGTON RD STE 105",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232144",
            "telephone_number": "630-286-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S FINLEY RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484830",
            "telephone_number": "630-495-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGHENOUR",
        "first_name": "CHRISTINA",
        "middle_name": "NOELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-17",
        "last_updated": "2011-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.005763",
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "IL",
            "license": "056.005763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2011; 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.