JUDITH AUMA GODDARD


Address: 904 E Elizabeth St, Republic, MO 65738-2299
Phone: 4175999984

JUDITH AUMA GODDARD (NPI# 1013230747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013230747
Entity Type Individual
Full Name JUDITH AUMA GODDARD
Other Name JUDITH AUMA BONE
Credential MOT
Practice Address 904 E Elizabeth St
Republic
MO 65738-2299
Mailing Address Po Box 488
Republic
MO 65738-0488
Practice Telephone 4175999984
Enumeration Date 2010-03-09
Last Update Date 2020-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 2009026759 MO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1100 N Kentucky Ave, West Plains, MO 657752029 4172575959 4172575814
1540 E Evergreen St, Springfield, MO 658034300 (417) 823-2900 4178862774

Office Location

Street Address 904 E ELIZABETH ST
City REPUBLIC
State MO
Zip Code 65738-2299

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306443817 Brainwings, LLC Occupational Therapist 904 E Elizabeth St, Republic, MO 65738-2299 2020-10-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215585922 Lawana Kay Patterson Technician 1702 East New Madrid, Republic, MO 65738 2019-08-27
1497219059 Samantha J Steed Chiropractor 530 E Hadley St, Republic, MO 65738 2019-01-29
1962643338 Dave Bremer Physical Therapist 5030 S Westwood Dr, Republic, MO 65738 2009-03-16
1689704918 Kevin Edward Medlin Dentist 834 S Illinois Ave, Republic, MO 65738 2007-03-06
1437284023 Teresa Ann Davidson Occupational Therapist 1983 S Fr 69, Republic, MO 65738 2007-02-22
1144303363 Marcia L Preston Dentist 604 East Elm, Republic, MO 65738 2006-10-23
1801908355 David Kent Budd Dentist 1093 Us Highway 60 E, Republic, MO 65738 2006-08-31
1124011630 Jonathan K Armstrong Chiropractor 851 S Colorado, Republic, MO 65738 2005-08-30
1861970816 Matthew Charles Mcnitt Pharmacist 1173 E Hines St, Republic, MO 65738 2018-08-01
1194237826 Alexandria Paige Holmes Optometrist 612 E Elm St, Republic, MO 65738 2017-11-03
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356695035 Serc Rehabilitation Partners LLC Occupational Therapist 578 E Harrison St, Republic, MO 65738-1353 2012-11-02
1437284023 Teresa Ann Davidson Occupational Therapist 1983 S Fr 69, Republic, MO 65738 2007-02-22
1376687418 Jessica Ann Walker Occupational Therapist 3001 Bradford St, Republic, MO 65738-9158 2007-02-19
1306443817 Brainwings, LLC Occupational Therapist 904 E Elizabeth St, Republic, MO 65738-2299 2020-10-07
1194170548 Sarah Marsh Occupational Therapist 2673 E Sawyer Rd, Republic, MO 65738-7574 2016-05-03
1952578619 Access Potential Therapy Services, LLC Occupational Therapist 1983 S Fr 69, Republic, MO 65738 2008-05-13
1427250430 Dwayne L Mackey Occupational Therapist 518 N Hampton Ave, Republic R-iii, Republic, MO 65738-1323 2007-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982205670 Sara Crites Occupational Therapist 704 E 122nd St, Kansas City, MO 64146-1113 2020-11-08
1700486255 Emily Allison Occupational Therapist 3680 Ne Akin Dr Ste 134, Lees Summit, MO 64064-7853 2020-10-26
1831798453 Speaklife Therapy Services, LLC Occupational Therapist 919 Dogwood Trail Loop, Carl Junction, MO 64834-9309 2020-10-24
1063011856 Rebeca Duvert Occupational Therapist 8550 N Garden Village Retirement, Kansas City, MO 64154-1200 2020-10-22
1699382127 Susan Brockmeyer Occupational Therapist 600 Breeze View Ln, Weldon Springs, MO 63304 2020-09-29
1710594239 Kayla Rebeca Smith Occupational Therapist 4931 Mcpherson Ave Apt D, Saint Louis, MO 63108-1627 2020-09-29
1447867437 Danae Marie Wollberg Occupational Therapist 531 Roaring Fork Dr, Wildwood, MO 63040-1566 2020-09-24
1518573252 Amanda Cline Occupational Therapist 729 S Laclede Station Rd, Saint Louis, MO 63119-4911 2020-09-18
1366056467 Mikayla Renee Stupps Occupational Therapist 10144 N Tracy Ave, Kansas City, MO 64155-3716 2020-09-04
1962016774 Envision Rehab and Wellness LLC Occupational Therapist 7421 Mexico Rd Ste 102, Saint Peters, MO 63376-1369 2020-08-31
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Competitor

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City REPUBLIC
Zip Code 65738

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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