Paige Alexis Goodwin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8009-26 Issued in WI

Practice address

N15W28300 Golf Rd
Pewaukee, WI 53072-4800

Phone

(262) 303-5055

NPI assigned

Aug 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Associates of Wisconsin SCGroup PAC ID 1052200953, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Orthopaedic Associates of Wisconsin, SC

  • Orthopaedic Surgery Physician
  • Pewaukee, WI
  • NPI 1689656951
  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Onalaska, WI
  • NPI 1306336565

  Occupational Therapist

  Medicare reassignment NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1801907464

  Occupational Therapist

  Medicare reassignment NPD
• Aegis Group Practice, LLC

  • Physical Therapist
  • Middleton, WI
  • NPI 1437664935

  Occupational Therapist

  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1558956722

  Occupational Therapist

  NPD
• Orthopaedic Associates of Wisconsin SC

  • Orthopaedic Surgery Physician
  • Mukwonago, WI
  • NPI 1720433790
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD
• Vocational Development Group, LLC

  • Behavior Analyst
  • Davie, FL
  • NPI 1811352099

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1346977394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N15W28300 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724800",
            "telephone_number": "262-303-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Patrick Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530455883",
            "country_code": "US",
            "telephone_number": "888-754-0398",
            "fax_number": "954-982-6491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Wall St",
            "address_purpose": "LOCATION",
            "city": "Elm Grove",
            "state": "WI",
            "postal_code": "531222631",
            "country_code": "US",
            "telephone_number": "262-205-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "PAIGE",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "8009-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN OCCUPATIONAL THERAPY LICENSE",
            "identifier": "8009-26",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ElmGrove",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "800 Wall St",
            "city": "Elm Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531222631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tara Marie Gill, DC
• Shirley Y Godiwalla, MD
• Carl Goehner
• Golf Creek Family Chiropractic
• Good Harvest Market
• Grace Healing and Wellness Center, LLC.
• Rebecca Gray, PT
• Lauri Theresa Green, M.D.
• Bonnie-Jo McLean Grieve, M.D.
• Adam C Grimm, PA

• Occupational Therapist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.