Individual provider Active NPI

Jeanelle Godsey, OTR/L

  • Occupational Therapist
  • Upper Marlboro, MD
National Provider Identifier
1679699888
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
05449 Issued in MD
Practice address
11016 Fillys Ford Xing
Upper Marlboro, MD 20772-8117
Phone
(202) 215-5498
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 OT010000301 DC
Occupational Therapist 225X00000X 05449 MD Primary

Addresses

Primary practice location

11016 Fillys Ford Xing
Upper Marlboro, MD 20772-8117

Mailing address

PO Box 500
Brookeville, MD 20833-0500
Phone (202) 215-5498

Other practice location 1

14235 Park Center Dr
Laurel, MD 20707-5261
Phone (301) 489-8100

Other practice location 2

14409 Greenview Dr
Laurel, MD 20708-3293
Phone (301) 489-8100

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
OT010000301DCMDOccupational Therapist
05449MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1679699888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208330500",
            "telephone_number": "202-215-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11016 FILLYS FORD XING",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728117",
            "telephone_number": "202-215-5498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14235 Park Center Dr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075261",
            "country_code": "US",
            "telephone_number": "301-489-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14409 Greenview Dr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207083293",
            "country_code": "US",
            "telephone_number": "301-489-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODSEY",
        "first_name": "JEANELLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000301",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.