Organization Active NPI

The Good Good Life Occupational Therapy, LLC

  • Home Health Agency
  • Melbourne, FL
National Provider Identifier
1184388043
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THE GOOD GOOD LIFE OCCUPATIONAL THERAPY, LLC
Practice address
3250 Conservation PL Apt 203
Melbourne, FL 32934-8770
Phone
(321) 543-6939
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Alison Lindsey Powell, OTD, OTR/LNPI 1932782869
Title
Owner
Phone
(321) 543-6939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3250 Conservation PL Apt 203
Melbourne, FL 32934-8770

Mailing address

3250 Conservation PL Apt 203
Melbourne, FL 32934-8770
Phone (321) 543-6939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907002159 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941684104 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Bay, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1184388043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 CONSERVATION PL APT 203",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348770",
            "telephone_number": "321-543-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 CONSERVATION PL APT 203",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348770",
            "telephone_number": "321-543-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD GOOD LIFE OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-543-6939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.