Active NPI
James Goodwin, OT
- Hand Occupational Therapist
- Bartow, FL
National Provider Identifier
1689732307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT2471
- Practice address
- 1765 N Broadway Ave
Bartow, FL 33830-3104 - Phone
- (863) 519-9837
- Fax
- (863) 519-9853
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT2471 | FL | Primary |
Addresses
Primary practice location
1765 N Broadway Ave
Bartow, FL 33830-3104
Mailing address
PO Box 1838
Lakeland, FL 33802-1838
Phone (863) 687-0931
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT2471 | FL | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689732307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1838",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338021838",
"telephone_number": "863-687-0931",
"fax_number": "863-687-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 N BROADWAY AVE",
"city": "BARTOW",
"state": "FL",
"postal_code": "338303104",
"telephone_number": "863-519-9837",
"fax_number": "863-519-9853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "JAMES",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "FL",
"license": "OT2471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.