Sydney Brooke Goerge, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010880 Issued in MI

Practice address

4285 Development Dr
Lansing, MI 48911-4213

Phone

(042) 151-7706

NPI assigned

Mar 18, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1275169500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 W WALKER RD",
            "city": "FOWLER",
            "state": "MI",
            "postal_code": "488358715",
            "telephone_number": "989-400-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 DEVELOPMENT DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114213",
            "telephone_number": "042-151-7706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 E Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Ionia",
            "state": "MI",
            "postal_code": "488461314",
            "country_code": "US",
            "telephone_number": "616-527-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOERGE",
        "first_name": "SYDNEY",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Gobel
• Alyssa Gochenour
• Ivy Godana, DO
• Stacie Goddreau, RDH
• Nirmit Goel, M.D.
• Joshua Michael Goethals, DO
• Stephanie Gogarn, MA, LLPC
• Golan Integrated Physical Medicine
• Linda Lee Gold, M.ED, LMSW
• Golden Path Therapeutics

• Occupational Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.