MEDICARE: MISTY GOYAL OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC017276	PA

General Provider Information

NPI Number	:	1558867879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISTY GOYAL OTR/L

Provider Business Mailing Address
First Line	:	115 EVERGREEN ST UNIT 103
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-7738
Country	:	US
Telephone Number	:	412-735-3782
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 EVERGREEN ST UNIT 103
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-7738
Country	:	US
Telephone Number	:	412-735-3782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2018
Last Update Date	:	03/29/2022

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1952238891 — GERALDYNE SERVIL
Practice Location Address:

2563 FREEPORT RD
WEST PALM BEACH, FL
33406-7738

Practice Phone: 561-396-6558
Practice Fax:

1962572776 — PALO ALTO COUNTY HOSPITAL
Practice Location Address:

107 W DIVISION ST
WEST BEND, IA
50597-7738

Practice Phone: 515-887-7891
Practice Fax:

1730795105 — GENE EWING MCKEVIE
Practice Location Address:

142 CASSATA CT
WEST BABYLON, NY
11704-6932

Practice Phone: 703-599-8817
Practice Fax:

1124442546 — ANGELICA RUBIO
Practice Location Address:

3 ANGELICA CT
WEST BABYLON, NY
11704-8501

Practice Phone: 347-741-6228
Practice Fax:

1578568705 — DR. RONALD REPLOGLE D.P.M.
Practice Location Address:

578 SUNRISE HWY
WEST BABYLON, NY
11704-6003

Practice Phone: 631-893-7030
Practice Fax: 631-893-7066

Directions to “ MISTY GOYAL OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.