Kelsey Lynne Goodwin, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2837 Issued in ME

Practice address

39 Limerick Rd
Arundel, ME 04046-8158

Phone

(207) 985-7861

NPI assigned

Jan 13, 2014

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1396167185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 HEATH RD",
            "city": "LEBANON",
            "state": "ME",
            "postal_code": "040273202",
            "telephone_number": "207-391-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LIMERICK RD",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040468158",
            "telephone_number": "207-985-7861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Portland St",
            "address_purpose": "LOCATION",
            "city": "South Berwick",
            "state": "ME",
            "postal_code": "039081203",
            "country_code": "US",
            "telephone_number": "207-384-7260",
            "fax_number": "207-351-3083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "KELSEY",
        "middle_name": "LYNNE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Care of Southern Maine

• Occupational Therapist in Arundel, ME
• Providers in Arundel, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.