Active NPI
Carla Soares-Goulet, M.SC.
- Pediatric Occupational Therapist
- State College, PA
National Provider Identifier
1285853309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OC008160
- Practice address
- 3054 Enterprise Dr
State College, PA 16801-2755 - Phone
- (814) 234-6023
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OC008160 | PA | Primary |
Addresses
Primary practice location
3054 Enterprise Dr
State College, PA 16801-2755
Mailing address
3054 Enterprise Dr
State College, PA 16801-2755
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC008160 | PA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todd Farrell | Past | Accepting new patients | |
| Strawberry Fields, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/sfionline/r4/
Organizations & group practices 2
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.
-
- Case Management Agency
- State College, PA
- NPI 1386705135
-
- Rehabilitation Clinic/Center
- Bellefonte, PA
- NPI 1669455309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1285853309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3054 ENTERPRISE DR",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168012755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3054 ENTERPRISE DR",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168012755",
"telephone_number": "814-234-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOARES-GOULET",
"first_name": "CARLA",
"credential": "M.SC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PA",
"license": "OC008160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.