STACY GOGUEN (NPI# 1134556475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134556475 |
| Entity Type | Individual |
| Full Name | STACY GOGUEN |
| Credential | MS OTR/L |
| Practice Address |
14421 Metropolis Ave Ste 103 Fort Myers FL 33912-4323 |
| Mailing Address |
8893 Cypress Preserve Pl Fort Myers FL 33912-0829 |
| Practice Telephone | 2395612778 |
| Practice Fax Number | 2395618107 |
| Mailing Telephone | 2394814125 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 15900 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14421 METROPOLIS AVE STE 103 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497262885 | Alexandria Nicole Damm | Speech-Language Pathologist | 14421 Metropolis Ave Ste 103, Fort Myers, FL 33912-4323 | 2018-01-07 |
| 1447652854 | Colby Revers | Occupational Therapist | 14421 Metropolis Ave Ste 103, Fort Myers, FL 33912-4323 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180459 | Emily Ann Moffitt | Occupational Therapist | 11896 Arbor Trace Dr, Fort Myers, FL 33913-9372 | 2020-09-25 |
| 1184275737 | Dennis Disilvestro | Occupational Therapist | 6150 Whiskey Creek Dr Apt 809, Fort Myers, FL 33919-8746 | 2019-09-25 |
| 1164987046 | Jason Buss | Occupational Therapist | 13326 Highland Chase Pl, Fort Myers, FL 33913-7804 | 2019-02-05 |
| 1922589050 | Nicolette Shaffer | Occupational Therapist | 15101 Shell Point Blvd, Fort Myers, FL 33908-1694 | 2018-08-27 |
| 1174027569 | Ciera Taylor Crider | Occupational Therapist | 12532 Stone Tower Loop, Fort Myers, FL 33913-6780 | 2018-03-20 |
| 1588199186 | Ashley Morgan Young | Occupational Therapist | 15661 Iona Lakes Dr, Fort Myers, FL 33908-1882 | 2017-04-21 |
| 1609237437 | Ginger Rene Gustason | Occupational Therapist | 586 Sanford Dr, Fort Myers, FL 33919-3134 | 2016-03-07 |
| 1588040380 | Therese Cinotto | Occupational Therapist | 9698 Galley Ct, Fort Myers, FL 33919-3177 | 2015-08-04 |
| 1861818411 | Jenna Koch | Occupational Therapist | 18445 Holly Rd, Fort Myers, FL 33967-3326 | 2014-03-06 |
| 1194064667 | Cenia C Quevedo | Occupational Therapist | 1462 Park Shore Cir Apt 4, Fort Myers, FL 33901-9642 | 2013-02-04 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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| 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.