Ashley Michelle Gooldy, OTR/L
Individual provider Active NPI Occupational Therapist · Saint Louis, MO
NPI 1801101019 · NPPES record last updated Aug 11, 2010
Key facts
- NPI
- 1801101019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2010027443 (MO)
- Practice address
- 5101 McRee Ave
Saint Louis, MO 63110-2019 - Phone
- (314) 308-0981
- NPI assigned
- Aug 11, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010027443 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2010027443 | MO | Yes |
Addresses
Primary practice location
5101 McRee Ave
Saint Louis, MO 63110-2019
Mailing address
11960 Westline Industrial Dr
201
Saint Louis, MO 63146-3209
Other providers in Saint Louis, MO
- Madeline Goodwill
- Dazialee Goodwin
- Kathleen Marino Goodwin
- Matthew Lawrence Goodwin
- Natasha Renee Goodwin
- Lisa Kaye Goolsby
- David Benjamin Gootenberg
- Rajalakshmi T Gopalakrishnan
- Parul Gor
- David A Goran
All providers in Saint Louis, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.