Michael Thomas Goode, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

24742 Issued in CA

Practice address

1400 Circle City Dr
Corona, CA 92879-1642

Phone

(951) 735-0252

NPI assigned

Mar 28, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

CRS Physical Therapy Inc.Group PAC ID 1355508433, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• CRS Physical Therapy Inc.

  • Physical Therapist
  • San Diego, CA
  • NPI 1265478358
  Medicare reassignment Care Compare group NPD
• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Rehab Alliance

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1316987126
  NPD (past)

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1699479261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 MABURY ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014461",
            "telephone_number": "714-905-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CIRCLE CITY DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791642",
            "telephone_number": "951-735-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Gonzalez
• Tiffany Gonzalez
• Yolanda Gonzalez, PPS
• Good Samaritan Community Health Center
• Good Samaritan Hospice LLC
• David Lee Gooding Jr., RBT
• Michael Paul Gordon, RCP-RRT
• Elyssa Noel Gorham
• Jillian Gottesman
• Suhani Manohar Gowda

• Occupational Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.