Mary Kathy Gooch, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA1880 Issued in OH

Practice address

115 S Ludlow St
Dayton, OH 45402-1812

Phone

(937) 542-3000

NPI assigned

Aug 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathy Gooch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dayton Public Schools

  • Student Health Clinic/Center
  • Dayton, OH
  • NPI 1831230184
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1912306267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 COLDSTREAM CT",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426402",
            "telephone_number": "937-266-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S LUDLOW ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021812",
            "telephone_number": "937-542-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "MARY",
        "middle_name": "KATHY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "GOOCH",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ruben A Gomez, LMSW
• Elizabeth Gonder
• Junyang Gong, NP
• Diana Elizabeth Gonzalez
• Latisha Gooch, LPN
• Sacha Gooch, PA-C
• Good Neighbor House
• Good Remedy Home Healthcare LLC
• Good Samaritan Hospital
• Good Samaritan Hospital

• Occupational Therapy Assistant in Dayton, OH
• Providers in Dayton, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.