Laura Marie Baker Goulet, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT568 Issued in ME

Practice address

64 Exeter Rd
Corinth, ME 04427-3050

Phone

(207) 659-1453

NPI assigned

Sep 15, 2007

Last updated

Aug 14, 2019By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willow Tree Occupational Therapy, LLC

  • Pediatric Occupational Therapist
  • Corinth, ME
  • NPI 1366098477

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1154517969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 EXETER RD",
            "city": "CORINTH",
            "state": "ME",
            "postal_code": "044273050",
            "telephone_number": "207-659-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 EXETER RD",
            "city": "CORINTH",
            "state": "ME",
            "postal_code": "044273050",
            "telephone_number": "207-659-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER GOULET",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Bagley, MS OTR/L
• Amy Elizabeth Bean, RN
• Victoria Anne Berry
• Sandra Jeanne Britton, NP
• Dana Marie Burns, RN
• Choices

• Pediatric Occupational Therapist in Corinth, ME
• Providers in Corinth, ME by specialty
• Pediatric Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.