Individual provider Active NPI

Hayley Mars Goodman, OTD, OTR/L

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1295478634
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT23066 Issued in FL
Practice address
6000 S Rio Grande Ave Ste 206
Orlando, FL 32809-4650
Phone
(407) 280-3776
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT23066 FL Primary

Addresses

Primary practice location

6000 S Rio Grande Ave Ste 206
Orlando, FL 32809-4650

Mailing address

5728 Major Blvd Ste 600
Orlando, FL 32819-7970

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

State licenses

LicenseStateTypeSpecialty
OT23066FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Children's Therapy CurrentSince Apr 17, 2022 Accepting new patients
Services by Amy LLC PastSince Apr 17, 2022 Accepting new patients

Locations

5728 Major Blvd
Ste 600
Orlando, FL 32819
Phone (407) 280-3776

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1295478634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S RIO GRANDE AVE STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094650",
            "telephone_number": "407-280-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "HAYLEY",
        "middle_name": "MARS",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.