Active NPI
Samantha Marie Goschke, CTRS
- Recreation Therapist
- Lake City, MI
National Provider Identifier
1881589943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 83884
- Practice address
- 301 N Main St
Lake City, MI 49651-5102 - Phone
- (989) 899-7299
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 83884 | MI | Primary |
Addresses
Primary practice location
301 N Main St
Lake City, MI 49651-5102
Mailing address
4694 Wall St
Saginaw, MI 48638-4567
Phone (989) 751-3308
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83884 | MI | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1881589943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4694 WALL ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486384567",
"telephone_number": "989-751-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N MAIN ST",
"city": "LAKE CITY",
"state": "MI",
"postal_code": "496515102",
"telephone_number": "989-899-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSCHKE",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"credential": "CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "83884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.