Individual provider Active NPI

Rhonda Goodale

  • Occupational Therapy Assistant
  • Pawley's Island, SC
National Provider Identifier
1346645694
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
3001 Issued in SC
Practice address
120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5502
Phone
(843) 237-0343
Fax
(843) 237-3929
NPI assigned
Oct 29, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3001 SC Primary

Addresses

Primary practice location

120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5502

Mailing address

120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5502
Phone (843) 237-0343

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
3001SCMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1346645694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAKES AT LITCHFIELD DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295855502",
            "telephone_number": "843-237-0343",
            "fax_number": "843-237-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKES AT LITCHFIELD DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295855502",
            "telephone_number": "843-237-0343",
            "fax_number": "843-237-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALE",
        "first_name": "RHONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.