Individual provider Active NPI

Shannon Elizabeth Goetz, OTD, OTR/L

  • Occupational Therapist
  • Pittsburgh, PA
National Provider Identifier
1538992276
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC020064 Issued in PA
Practice address
1405 Shady Ave
Pittsburgh, PA 15217-1350
Phone
(412) 420-2400
NPI assigned
Aug 20, 2024
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC020064 PA Primary
Occupational Therapist 225X00000X 17036 NC

Addresses

Primary practice location

1405 Shady Ave
Pittsburgh, PA 15217-1350

Mailing address

1508 Holly Cir
Glenshaw, PA 15116-2368
Phone (412) 390-7362

Other practice location 1

11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471
Phone (704) 541-9080

Other practice location 2

1370 Washington Pike
Bridgeville, PA 15017-2862
Phone (412) 838-0212

Other practice location 3

4012 Park Rd Ste 200
Charlotte, NC 28209-2378
Phone (704) 332-4834

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17036NCMDOccupational Therapist
OC020064PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Childrens Institute of Pittsburgh Past Accepting new patients
Child and Family Development Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1538992276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HOLLY CIR",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162368",
            "telephone_number": "412-390-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171350",
            "telephone_number": "412-420-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11940 Carolina Place Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "NC",
            "postal_code": "281347471",
            "country_code": "US",
            "telephone_number": "704-541-9080",
            "fax_number": "704-542-0699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1370 Washington Pike",
            "address_purpose": "LOCATION",
            "city": "Bridgeville",
            "state": "PA",
            "postal_code": "150172862",
            "country_code": "US",
            "telephone_number": "412-838-0212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4012 Park Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282092378",
            "country_code": "US",
            "telephone_number": "704-332-4834",
            "fax_number": "704-372-9653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC020064",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.