Individual provider Active NPI

Esther Goodman

  • Occupational Therapist
  • Lutherville, MD
National Provider Identifier
1861814923
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
08378 Issued in MD
Practice address
1300 York Rd Ste 300
Lutherville, MD 21093-6019
Phone
(410) 828-4629
NPI assigned
Jan 9, 2014
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Occupational Therapist 225X00000X 08378 MD Primary

Addresses

Primary practice location

1300 York Rd Ste 300
Lutherville, MD 21093-6019

Mailing address

1300 York Rd Ste 300
Lutherville, MD 21093-6019
Phone (410) 828-4629

Other practice location 1

135 W 50th St
6 fl
New York, NY 10020-1201
Phone (212) 632-4761

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
08378MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1861814923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936019",
            "telephone_number": "410-828-4629",
            "fax_number": "410-828-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936019",
            "telephone_number": "410-828-4629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 W 50th St",
            "address_2": "6 fl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100201201",
            "country_code": "US",
            "telephone_number": "212-632-4761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ESTHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.