Kerry Goudy, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000751 Issued in CO

Practice address

4480 S Lafayette St
Englewood, CO 80113-5944

Phone

(720) 272-2754

NPI assigned

Oct 31, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Toudalou,LLC

  • Occupational Therapist
  • Englewood, CO
  • NPI 1386150100
  NPD (past) Authorized official

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1104338169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 S LAFAYETTE ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801135944",
            "telephone_number": "720-272-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 S LAFAYETTE ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801135944",
            "telephone_number": "720-272-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDY",
        "first_name": "KERRY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "000751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Goodman, MD
• Jeffrey Gordon
• Robert B Gore, M.D.
• Timothy Joseph Gorrill, MFTC
• Anusha Goswami
• Vidya Govindarajan
• Claire Gower
• Olivia Grabmayer
• Aniellia Grabowski, AU.D.
• McKenzie Grace, PA

• Occupational Therapist in Englewood, CO
• Providers in Englewood, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.