Vicki Gothard, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3100 Coral Hills Dr
Coral Springs, FL 33065-4137

Phone

(954) 344-3168

Fax

(954) 344-3183

NPI assigned

Jan 24, 2020

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

Practice roles

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.

• Purely Pelvic Therapy, PLLC

  • Occupational Therapist
  • Wendell, NC
  • NPI 1134060114
  NPD Authorized official

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1861022238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SW 46TH AVE APT 304",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330690993",
            "telephone_number": "860-944-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-344-3168",
            "fax_number": "954-344-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTHARD",
        "first_name": "VICKI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Michelle Gordon, LCSW
• Tracy Ann Gordon, ARNP
• Max Gorfinkel
• Kristel Goris-Rodriguez
• Nandita Gosine
• Caran Gottlieb, OTR/L
• Yasmin Gourine
• Benoit Marie Sally Gousse
• GPS Mental Health and Wellness LLC
• Benjamin Graber, M.D.

• Occupational Therapist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.