Susan Goedeken, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11928 Issued in MA

Practice address

495 West St Unit 1D
Amherst, MA 01002-3379

Phone

(413) 450-0082

Fax

(413) 450-0440

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Washington University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rise Up Occupational Therapy

  • Occupational Therapist
  • Amherst, MA
  • NPI 1932967544
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1194272237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WEST ST UNIT 1D",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010023379",
            "telephone_number": "413-450-0082",
            "fax_number": "413-450-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WEST ST UNIT 1D",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010023379",
            "telephone_number": "413-450-0082",
            "fax_number": "413-450-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDEKEN",
        "first_name": "SUSAN",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "11928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Gilmore, MSW, LICSW
• Laura Elizabeth Ginsberg-Peltz
• Samuel Gladstone, MD
• Lora S Glenn
• Gail G. Gnatek, F.N.P.
• Jonathan G. Goldin, LISCW
• Elisa Gomez, PSY.D.
• Michele A Gonzalez
• Rebecca Goodier
• David Michael Gooler, MA, PHD

• Occupational Therapist in Amherst, MA
• Providers in Amherst, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.