Active NPI
Janelle Rae Goodin, COTA
- Occupational Therapist
- Lawton, OK
National Provider Identifier
1124617840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5873
- Practice address
- 501 SE Flower Mound Rd
Lawton, OK 73501-6388 - Phone
- (580) 351-6511
- NPI assigned
- Jan 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5873 | OK | Primary |
Addresses
Primary practice location
501 SE Flower Mound Rd
Lawton, OK 73501-6388
Mailing address
278 Rock Ridge Rd
Elgin, OK 73538-2328
Phone (785) 210-7656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6302 SW Lee Blvd
Lawton, OK 73505-9100
Phone (580) 536-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Rock Health and Wellness LLC | Current | Accepting new patients |
Locations
103 W Main St
Marlow, OK 73055
Phone (580) 658-2319
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.
-
- Physical Therapy Clinic/Center
- Marlow, OK
- NPI 1578046827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1124617840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 ROCK RIDGE RD",
"city": "ELGIN",
"state": "OK",
"postal_code": "735382328",
"telephone_number": "785-210-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SE FLOWER MOUND RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735016388",
"telephone_number": "580-351-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODIN",
"first_name": "JANELLE",
"middle_name": "RAE",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-17",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "5873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.