Kim Gooding, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1636 Issued in ME

Practice address

25 Dallas Hill Rd
Rangeley, ME 04970

Phone

(207) 749-2234

NPI assigned

Feb 12, 2008

Last updated

Jul 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kim Gooding Occupational Therapy PLLC

  • Occupational Therapist
  • Rangeley, ME
  • NPI 1306254065
  Authorized official Same address or phone

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1932377967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "RANGELEY",
            "state": "ME",
            "postal_code": "049700456",
            "telephone_number": "207-749-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DALLAS HILL RD",
            "city": "RANGELEY",
            "state": "ME",
            "postal_code": "04970",
            "telephone_number": "207-749-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "KIM",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Plantation School Department
• Kimberly Dawn Desanctis
• Marie Louise Dexter, CLINICAL COUNSELOR
• Donald Dumont
• Stephanie Schwartz Fahy, PT, DPT
• Jane Louise Gordon, NP-PP
• Allissa Jean Gurney, FNP
• Roberta Hartigan, PTA
• Healthreach Community Health Centers (Rangeley Family Medicine)
• Robert J Jacobs, MD

• Occupational Therapist in Rangeley, ME
• Providers in Rangeley, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.