Individual provider Active NPI

Cori Goodwin, OT

  • Occupational Therapist
  • Kodiak, AK
National Provider Identifier
1174227938
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2407 Issued in AK
Practice address
1216 Purtov St
Kodiak, AK 99615-6215
Phone
(907) 942-0887
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2407 AK Primary

Addresses

Primary practice location

1216 Purtov St
Kodiak, AK 99615-6215

Mailing address

1216 Purtov St
Kodiak, AK 99615-6215
Phone (907) 942-0887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, MA, AK, ME, CA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20240705002662 NY Practitioner - Occupational Therapist in Private Practice 0648714246 Reassigns benefits to 2 organizations
I20250107000128 NJ Practitioner - Occupational Therapist in Private Practice 0648714246 Reassigns benefits to 1 organization
I20250108000187 MA Practitioner - Occupational Therapist in Private Practice 0648714246 Reassigns benefits to 1 organization
I20250109001266 AK Practitioner - Occupational Therapist in Private Practice 0648714246 Reassigns benefits to 1 organization
I20250801001660 ME Practitioner - Occupational Therapist in Private Practice 0648714246 Reassigns benefits to 1 organization
I20250813002982 CA Practitioner - Occupational Therapist in Private Practice 0648714246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Xrhealth USA IncGroup PAC ID 2264867704, 31 clinicians

Practice addresses (Care Compare)

Embden, ME 04958
Phone (857) 990-6111

Somerset, NJ 08873
Phone (857) 990-6111

Clarence Center, NY 14032
Phone (857) 990-6111

San Jose, CA 95134
Phone 85799061112

Kodiak, AK 99615
Phone (857) 990-6111

300 1St Ave
Suite 103
Needham, MA 02494-2759
Phone (857) 990-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028989NYMDPhysical Therapist
27992CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stern at Home Physical Therapy PC Occupational Therapist CurrentSince May 18, 2024 Accepting new patients
Xrhealth USA Inc CurrentSince Dec 28, 2024 Accepting new patients
Xrhealth USA Inc PastSince Jul 16, 2023 Accepting new patients

Locations

300 1st Ave
Ste 103
Needham Heights, MA 02494
Phone (888) 977-6828

200 Highland Ave
Ste 202
Needham Heights, MA 02494
Phone (850) 687-6000

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1174227938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 PURTOV ST",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156215",
            "telephone_number": "907-942-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 PURTOV ST",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156215",
            "telephone_number": "907-942-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "CORI",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "2407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.

Verify at the official NPI Registry.