Lauren Goodwin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023219 Issued in NY

Practice address

41 Sequams LN W
West Islip, NY 11795-4526

Phone

(631) 885-2528

NPI assigned

May 23, 2022

Last updated

May 23, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1548908221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SEQUAMS LN W",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SEQUAMS LN W",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954526",
            "telephone_number": "631-885-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgoodwin@revhab.com",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "1105 E County Line Rd Ste 213",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087012122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Good Samaritan Hospital Medical Center
• Good Samaritan Hospital Ox Therapy
• Goodman Physical Therapy PC
• Christopher Goodman, PT
• Ryan E Goodrich, LPN
• Alison Gordon, DO
• Elizabeth Victoria Gorecki
• Anna Gorski-Piaszczyk, MD
• Samuel Gorstein, M.D.
• Great South Bay Surgical Associates and Vascular Lab, LLP

• Occupational Therapist in West Islip, NY
• Providers in West Islip, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.