NPI Code Detail JSON Logo

1851477160 NPI number — TRACEY P GOODWIN OTR/L

NPI Number: 1851477160
Health Care Provider/Practitioner: TRACEY P GOODWIN OTR/L

Information about “1851477160” NPI (TRACEY P GOODWIN OTR/L) exists in 1851477160 in HTML format HTML  |  1851477160 in plain Text format TXT  |  1851477160 in PDF (Portable Document Format) PDF  |  1851477160 in an XML format XML  formats.

NPI Number : 1851477160 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851477160",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOODWIN",
    "FirstName": "TRACEY",
    "MiddleName": "P",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "45 SOUTHWORTH CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STOUGHTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02072-2249",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "500 VICTORY RD",
    "SecondLinePracticeLocationAddress": "MARIA BAY",
    "PracticeLocationAddressCityName": "QUINCY",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02171-3139",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-847-1950",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/29/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225XP0200X",
        "TaxonomyName": "Pediatric Occupational Therapist",
        "LicenseNumber": "7564",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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