Goodfellow Occupational Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2598 Issued in CA

Legal business name

GOODFELLOW OCCUPATIONAL THERAPY

Practice address

2505 W Shaw Ave
Building a
Fresno, CA 93711-3334

Phone

(559) 228-9100

Fax

(559) 228-9200

NPI assigned

Dec 14, 2006

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John E Goodfellow, OTRNPI 1750865598

Title

Owner

Phone

(559) 228-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Edward Goodfellow, OTD, OTR/L

  • Occupational Therapist
  • Fresno, CA
  • NPI 1750865598
  Authorized official Same address or phone

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1871655225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 W SHAW AVE",
            "address_2": "BUILDING A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113334",
            "telephone_number": "559-228-9100",
            "fax_number": "559-228-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 W SHAW AVE",
            "address_2": "BUILDING A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113334",
            "telephone_number": "559-228-9100",
            "fax_number": "559-228-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODFELLOW OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "GOODFELLOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-228-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT2598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Gonzalez
• Christina M Gooch, LVN
• Lacey Gooch
• Isabel D Good, RN, FNP
• Jamie L Goodall, LVN
• John Edward Goodfellow, OTD, OTR/L
• Adrienne Louise Goodin, SLP-A
• Ashley A Goodman
• Hhalayah Goodman
• Marshayla Goodman

• Occupational Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.