Shannon Goodheart

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC010977 Issued in PA

Practice address

702 2ND Ave
Tarentum, PA 15084-2004

Phone

(724) 230-3240

NPI assigned

Apr 22, 2019

Last updated

Apr 8, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1952964371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10256 STATE ROUTE 85",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162018167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 2ND AVE",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150842004",
            "telephone_number": "724-230-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHEART",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CommunityLifeTarentum@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "Community LIFE Center Direct Address",
            "address_1": "702 2nd Ave",
            "city": "Tarentum",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150842004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carilynn Sue Fitzgerald, HEARING SPECIALIST
• Sarah Christine Forbes, CCC-SLP
• Diane Mary Ford, R.P.
• Elie L Francis, M.D.
• Kenneth Asher Glick, MD
• Teresa M Groves, MS, CCC/SLP
• Ruthanne Hackman
• Stacey Marie Hannan, O.D.
• Marc Harrison
• Mary M Hart, RN

• Occupational Therapist in Tarentum, PA
• Providers in Tarentum, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.