Mukti V Godbole, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003106 Issued in WA

Practice address

2525 NE Park Dr
Suite C
Issaquah, WA 98029-2642

Phone

(425) 686-7405

Fax

(425) 341-9041

NPI assigned

Sep 16, 2006

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hands for Living LLCGroup PAC ID 4284891656, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Hands for Living LLC

  • Clinic/Center
  • Lynnwood, WA
  • NPI 1942596549

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833

  Hand

  Medicare reassignment NPD
• Proliance Surgeons Inc P S

  dba Proliance Surgeons Orthopedic Specialists of Seattle

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment NPD
• Snohomish Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Snohomish, WA
  • NPI 1487692398

  Occupational Therapist

  Medicare reassignment NPD
• Hand Therapy Northwest Inc

  • Occupational Therapist
  • Redmond, WA
  • NPI 1164580809
  NPD
• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy - Marysville

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Occupational Therapist

  NPD
• Proliance Surgeons Inc P S

  dba Proliance Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD
• Proliance Surgeons Inc., P.S.

  dba Proliance Sports Therapy and Rehab of Issaquah

  • Physical Therapist
  • Issaquah, WA
  • NPI 1083752042

  Occupational Therapist

  NPD
• Snohomish Physical Therapy PLLC

  dba IRG Physical Therapy of Canyon Park

  • Occupational Therapist
  • Bothell, WA
  • NPI 1245696814
  NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1306942156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 132ND ST SE",
            "address_2": "SUITE 101",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980128999",
            "telephone_number": "425-316-8046",
            "fax_number": "425-338-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NE PARK DR",
            "address_2": "SUITE C",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980292642",
            "telephone_number": "425-686-7405",
            "fax_number": "425-341-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 8th Ave NE Ste 340",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980295449",
            "country_code": "US",
            "telephone_number": "425-313-3055",
            "fax_number": "425-313-3051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODBOLE",
        "first_name": "MUKTI",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003106",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00003106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0356816",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064622",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0356877",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Azarah Rose Gillis, LMHC
• Marsha Gilluly
• Leslie Giron, LMP
• Glenn J Yorita DDS, Ms
• Robert Jay Glowitz, MD
• Lori Jenette Goerlitz, L.AC.
• Neda Goharkhay, DDS
• Kristi Lynn Goings, CPNP
• Hengameh Golchin, PHARMD
• Leah Goldberg, LMP

• Occupational Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.