Active NPI
Jill Goldman, OT
- Occupational Therapist
- Miami, FL
National Provider Identifier
1346891306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT13324
- Practice address
- 5200 NE 2ND Ave
Miami, FL 33137-2706 - Phone
- (305) 751-8626
- NPI assigned
- Sep 21, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT13324 | FL | Primary |
Addresses
Primary practice location
5200 NE 2ND Ave
Miami, FL 33137-2706
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (352) 448-7857
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 |
|---|---|---|---|
| OT13324 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569024000000",
"number": "1346891306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8477 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344465028",
"telephone_number": "352-448-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 NE 2ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331372706",
"telephone_number": "305-751-8626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "JILL",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-21",
"last_updated": "2019-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT13324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.