Holly J Godfrey, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

103132 Issued in MN

Practice address

13560 Wayzata Blvd
Minnetonka, MN 55305-1850

Phone

(952) 525-1883

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750486395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 LILAC LN",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13560 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051850",
            "telephone_number": "952-525-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "HOLLY",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MN",
            "license": "103132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gmitro, MD
• Alannah J Gnirk, PT, DPT
• Nballu Goba, FNP
• Vikisha A Goberdhan, PA-C
• Elizabeth Godes
• Madeline Streitz Pokorney Goeden, M.D.
• Maria Kristine Goertz, M.D.
• Cheryl Denise Goff, CRNP
• Olivia R Goldfine, NP
• Goldstar Adult Day Care Center

• Hand Occupational Therapist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Hand Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.