Individual provider Active NPI

Megan Goldner, OTR

  • Occupational Therapist
  • Harker Heights, TX
National Provider Identifier
1932731460
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
400 Nola Ruth Blvd
Harker Heights, TX 76548-1549
Phone
(512) 800-2961
NPI assigned
Feb 12, 2020
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

400 Nola Ruth Blvd
Harker Heights, TX 76548-1549

Mailing address

400 Nola Ruth Blvd
Harker Heights, TX 76548-1549

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.stablelifeconcepts.com

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trevor's Place LLC CurrentSince Feb 16, 2020 Accepting new patients

Locations

400 Nola Ruth Blvd
Harker Heights, TX 76548
Phone (254) 449-1405

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1932731460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NOLA RUTH BLVD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NOLA RUTH BLVD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481549",
            "telephone_number": "512-800-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDNER",
        "first_name": "MEGAN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.stablelifeconcepts.com",
            "affiliation": "N",
            "address_1": "400 Nola Ruth Blvd",
            "city": "Harker Heights",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765481549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.