Michaela Goomishian, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2509 Issued in ID

Practice address

10 High St
Skowhegan, ME 04976-1865

Phone

(616) 481-9241

NPI assigned

Jan 11, 2022

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

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.

• Launchpad Learning Center

  • Speech-Language Pathologist
  • Skowhegan, ME
  • NPI 1780209197

  Occupational Therapist

  NPD
• Pride Pediatric Therapy LLC

  • Occupational Therapist
  • Wilton, ME
  • NPI 1346929270
  NPD (past)

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1285385393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 OLD CANADA RD",
            "city": "BINGHAM",
            "state": "ME",
            "postal_code": "049204005",
            "telephone_number": "207-446-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761865",
            "telephone_number": "616-481-9241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S Eagle Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836426351",
            "country_code": "US",
            "telephone_number": "203-706-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOMISHIAN",
        "first_name": "MICHAELA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Gillis
• Shaenen Gilpatrick, LMSW-CC
• Daniel Giroux, PA-C
• Marya Rose Goettsche Spurling, M.D.
• Gina Gomez, M.D.
• Priscilla M Gosselin Rice, LCSW, LADC, CCS, SAP
• Abhishekh Satyanand Govind, M.D.
• Lyn Govoni, M.S., CCC-SLP
• Jessica L Graf, P.T.A.
• Antonio M Granda, M.D.

• Occupational Therapist in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.