Active NPI
Jacqueline Ann Godwin
- Pediatric Occupational Therapist
- Bedford, NH
National Provider Identifier
1235312166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4122
- Practice address
- 30 Harvey Rd Unit 6
Bedford, NH 03110-6818 - Phone
- (603) 296-5241
- Fax
- (603) 606-2443
- NPI assigned
- Dec 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 4122 | NH | Primary |
Addresses
Primary practice location
30 Harvey Rd Unit 6
Bedford, NH 03110-6818
Mailing address
30 Harvey Rd Unit 6
Bedford, NH 03110-6818
Phone (781) 492-9696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1235312166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HARVEY RD UNIT 6",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106818",
"telephone_number": "781-492-9696",
"fax_number": "603-606-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HARVEY RD UNIT 6",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106818",
"telephone_number": "603-296-5241",
"fax_number": "603-606-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "JACQUELINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NH",
"license": "4122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.