Katherine K Godwin, MS OTR/L CHT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

95-390 Kuahelani Avenue
#1C
Mililani, HI 96789-1192

Phone

(808) 445-4428

Fax

(866) 637-9592

NPI assigned

Jul 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Healthy Hands Hawaii LLC

  • Occupational Medicine Clinic/Center
  • Mililani, HI
  • NPI 1558668509

  Pediatrics

  Medicare reassignment NPD Authorized official
• Hawaiian Rehabilitation Services Inc

  • Rehabilitation Clinic/Center
  • Kailua-Kona, HI
  • NPI 1518935162
  NPD (past)
• PT Hawaii, Inc.

  • Orthopedic Physical Therapist
  • Waipahu, HI
  • NPI 1598718181
  NPD (past)
• High Peaks Physical Therapy P a

  • Physical Therapist
  • Driggs, ID
  • NPI 1356412837
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1376733840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVENUE",
            "address_2": "#1C",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-445-4428",
            "fax_number": "866-637-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVENUE",
            "address_2": "#1C",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-445-4428",
            "fax_number": "866-637-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "KATHERINE",
        "middle_name": "K",
        "credential": "MS OTR/L CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "HI",
            "license": "OT-668",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT668",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Leong Samala, Psy.D, Inc.
• Melissa Diane Giron-Bauer, LMFT
• Carly Glassmeyer, BCBA
• Hannah Glew
• Abbygail Godbout
• Anthony Gogue
• Denise Gomez
• Mary Therese Grageda Gomez, P.T.
• Ximena Gomez
• Gwynne Gonzales

• Pediatric Occupational Therapist in Mililani, HI
• Providers in Mililani, HI by specialty
• Pediatric Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.