Organization Active NPI

Rise Up Occupational Therapy

  • Occupational Therapist
  • Amherst, MA
National Provider Identifier
1932967544
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
RISE UP OCCUPATIONAL THERAPY
Practice address
495 West St Unit 1D
Amherst, MA 01002-3379
Phone
(413) 450-0082
Fax
(413) 450-0440
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Susan Goedeken, MSOTNPI 1194272237
Title
Owner
Phone
(413) 450-0082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

495 West St Unit 1D
Amherst, MA 01002-3379

Mailing address

495 West St Unit 1D
Amherst, MA 01002-3379
Phone (413) 450-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240506000733 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931549128 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, MA

National Provider Directory

National Provider Directory

Locations

495 West St
Unit 1D
Amherst, MA 01002
Phone (413) 219-1144

Practitioners & affiliated clinicians

Practitioners 2

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": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1932967544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WEST ST UNIT 1D",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010023379",
            "telephone_number": "413-450-0082",
            "fax_number": "413-450-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WEST ST UNIT 1D",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010023379",
            "telephone_number": "413-450-0082",
            "fax_number": "413-450-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "GOEDEKEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-450-0082",
        "authorized_official_credential": "MSOT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.