Organization Active NPI

Goodwill Easter Seals of the Gulf Coast

  • Occupational Therapist
  • Mobile, AL
National Provider Identifier
1902007727
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GOODWILL EASTER SEALS OF THE GULF COAST
Practice address
2448 Gordon Smith Dr
Mobile, AL 36617-2319
Phone
(251) 471-1581
Fax
(251) 476-4303
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Susan F Spraggins
Title
Director Children'S Services
Phone
(251) 471-1581

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2448 Gordon Smith Dr
Mobile, AL 36617-2319

Mailing address

2448 Gordon Smith Dr
Mobile, AL 36617-2319
Phone (251) 471-1581

Other identifiers 1

IdentifierTypeStateIssuer
529909360OtherALBILLING PAYEE NUMBER

National Provider Directory

National Provider Directory

Locations

2448 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 422-1827

2440 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 300-6180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1902007727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 GORDON SMITH DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172319",
            "telephone_number": "251-471-1581",
            "fax_number": "251-476-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 GORDON SMITH DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172319",
            "telephone_number": "251-471-1581",
            "fax_number": "251-476-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL EASTER SEALS OF THE GULF COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "SPRAGGINS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR CHILDREN'S SERVICES",
        "authorized_official_telephone_number": "251-471-1581"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING PAYEE NUMBER",
            "identifier": "529909360",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.