Individual provider Active NPI

Betsy E Goolgasian, OT

  • Occupational Therapist
  • Jupiter, FL
National Provider Identifier
1689688558
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9299 Issued in FL
Practice address
210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458-7191
Phone
(561) 741-1876
Fax
(561) 741-1877
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT9299 FL Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458-7191

Mailing address

210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458-7191
Phone (561) 741-1876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000193 FL Practitioner - Occupational Therapist in Private Practice 6002876240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Therapeutics IncGroup PAC ID 0749188498, 5 clinicians

Practice addresses (Care Compare)

210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458-7192
Phone (561) 741-1876

Merit-based Incentive Payment System (MIPS)

Final score
86.4 of 100Reported as group
Quality
86.95
Improvement activities
40
Cost
72.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Therapeutics Inc Occupational Therapist CurrentSince Jul 1, 2007 Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 5101
Jupiter, FL 33458
Phone (561) 741-1876

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1689688558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "SUITE 5101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-741-1876",
            "fax_number": "561-741-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "SUITE 5101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-741-1876",
            "fax_number": "561-741-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLGASIAN",
        "first_name": "BETSY",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.