Laura A Goltz, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

3716 Davis St
Skokie, IL 60076-1745

Phone

(847) 982-5822

Fax

(847) 982-5823

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

Yes

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

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.

• Timber Ridge Pediatric Therapy, LLC

  • Occupational Therapist
  • Skokie, IL
  • NPI 1760650501
  NPD Authorized official
• Timber Ridge Pediatric Therapy, LLC

  • Occupational Therapist
  • Skokie, IL
  • NPI 1841848751
  NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346320199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 DAVIS ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761745",
            "telephone_number": "847-982-5822",
            "fax_number": "847-982-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 DAVIS ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761745",
            "telephone_number": "847-982-5822",
            "fax_number": "847-982-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLTZ",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Goldstein, M.D.
• Corey Neil Goldstein, M.D.
• Martin Allen Goldstein, PHD
• Robert Goldstein
• Bruce J Goldstick, M.D.
• Eleanor San Andres Gomez, D.M.D.
• Sofia Gonzalez
• Good Life Home Health Care, Inc.
• Yisroel Goodman, MSW
• Michael A Goone, D.D.S.

• All providers in Skokie, IL
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.