Individual provider Active NPI

Karen Lynn Goldwire, MOT, OTR/L

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1356905657
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19877 Issued in FL
Practice address
5165 Adanson St
Orlando, FL 32804-1331
Phone
(352) 394-0212
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 19877 FL Primary

Addresses

Primary practice location

5165 Adanson St
Orlando, FL 32804-1331

Mailing address

2400 S Hwy 27
Clermont, FL 34711-6816
Phone (352) 394-0212

Other practice location 1

2400 S Hwy 27
Clermont, FL 34711-6816
Phone (352) 394-0212

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

LicenseStateTypeSpecialty
19877FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Dreamplex LLC CurrentSince Jan 5, 2023 Accepting new patients

Locations

2400 S Highway 27
Ste B2
Clermont, FL 34711

2400 S US Highway 27
Clermont, FL 34711
Phone (321) 287-6450

2400 S US Highway 27
Ste B201
Clermont, FL 34711
Phone (352) 606-0000

5165 Adanson St
Orlando, FL 32804
Phone (407) 303-7600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1356905657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S HWY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116816",
            "telephone_number": "352-394-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 ADANSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041331",
            "telephone_number": "352-394-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Hwy 27",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116816",
            "country_code": "US",
            "telephone_number": "352-394-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDWIRE",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.