Carlee Rae Elizabeth Gothard

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2549 Issued in OK

Practice address

2033 W Houston St
Broken Arrow, OK 74012-8304

Phone

(833) 587-1784

NPI assigned

Sep 9, 2024

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

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.

• Positive Development of California PC

  • Psychologist
  • Whittier, CA
  • NPI 1538769617
  NPD (past)

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1992531834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128304",
            "telephone_number": "833-587-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTHARD",
        "first_name": "CARLEE",
        "middle_name": "RAE ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Pomares Goode
• Quinton James Allen Goodson
• Chelsi N Gorman, PTA
• Luis Ventura Gorospe, M.D.
• Makenzie Elaine Gotes, BA
• Kathryn M Grace, M.S. CCC-SLP
• Betsy Jean Graham-Moeller, APRN, FNP
• Ashlee M Graham, PA-C, CAQ PSYCH
• Jamel Paul Grant, B.A
• Jessica Laura Graves, PA-C

• Occupational Therapy Assistant in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.