Individual provider Active NPI

Ashlynn Danielle Goddard-Carter, OTL

  • Occupational Therapist
  • Marietta, GA
National Provider Identifier
1861930638
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006439 Issued in GA
Practice address
1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068-5418
Phone
(770) 565-3201
Fax
(770) 565-3203
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4493 AL
Occupational Therapist 225X00000X OT006439 GA Primary

Addresses

Primary practice location

1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068-5418

Mailing address

1200 Corporate Dr
Ste 400
Birmingham, AL 65242-5424
Phone (423) 238-7217

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
4493ALMDOccupational Therapist
OT006439GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Ga, LLC Occupational Therapist CurrentSince Feb 13, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist Current Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Feb 13, 2017 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Occupational Therapist PastSince Jun 1, 2017 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068
Phone (770) 565-3201

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1861930638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR",
            "address_2": "STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "652425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 JOHNSON FERRY RD",
            "address_2": "STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685418",
            "telephone_number": "770-565-3201",
            "fax_number": "770-565-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD-CARTER",
        "first_name": "ASHLYNN",
        "middle_name": "DANIELLE",
        "credential": "OTL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4493",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.