Colleen A. Goodwin, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT001102 Issued in GA

Practice address

3441 Stembler RDG
Douglasville, GA 30135-7609

Phone

(770) 920-0574

Fax

(770) 920-0574

NPI assigned

Apr 12, 2006

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Professional Rehabilitation Associates, LLC

  • Occupational Therapist
  • Villa Rica, GA
  • NPI 1528499043
  Medicare reassignment NPD Authorized official
• Resurgens, LLC

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1386697928
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1396709051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 STEMBLER RDG",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357609",
            "telephone_number": "770-920-0574",
            "fax_number": "770-920-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 STEMBLER RDG",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357609",
            "telephone_number": "770-920-0574",
            "fax_number": "770-920-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "COLLEEN",
        "middle_name": "A.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Gomez, M.S., L.P.C.
• Antoinette Gooden, LPC, NCC, MAC, ACS
• Anna Goodman Williams
• James Goodman
• April S Goodridge
• Mary Louise Goodwin, RN
• Francine Gordon
• Johnnie Gordon
• Tawana Lavette Gordon
• Nakeya Johnson Gore, LCSW

• Occupational Therapist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.