JACQUELINE GOODWIN (NPI# 1053863142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053863142 |
| Entity Type | Individual |
| Full Name | JACQUELINE GOODWIN |
| Other Name | JACQUELINE LEE DEGANN |
| Credential | OTR/L |
| Practice Address |
150 Beachview Ave Apt 298 Bridgeport CT 06605-3234 |
| Practice Telephone | 7817994213 |
| Mailing Telephone | 7817994213 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4375 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942743760 | Jacqueline Goodwin | Licensed Practical Nurse | 1555 Meadowview Dr, Suite 5, Danville, VA 24541-7351 | 2016-11-28 |
| Street Address |
150 BEACHVIEW AVE APT 298 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| 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 |
|---|---|---|---|---|
| 1972068187 | Racquel Collins | Occupational Therapist | 549 Birmingham St, Bridgeport, CT 06606-3349 | 2019-02-01 |
| 1366917791 | Pilar Alexandra Rodriguez | Occupational Therapist | 75 Laurel Pl, Bridgeport, CT 06604-1717 | 2018-10-12 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1093292161 | Lyndsey Pittore | Occupational Therapist | 37 Grande Meadows Dr Ste 102, Bridgeport, WV 26330-9035 | 2018-07-23 |
| 1275029027 | Katherine Schaack | Occupational Therapist | 3931 Jim Dr, Bridgeport, MI 48722-9543 | 2018-07-05 |
| 1770039679 | Marie Feuille | Occupational Therapist | 3275 Main St Apt 104, Bridgeport, CT 06606-4231 | 2016-08-30 |
| 1679918494 | Nicole Trowbridge | Occupational Therapist | 276 Grant Street, Bridgeport Hospital, Bridgeport, CT 06610 | 2013-05-07 |
| 1780937706 | Lyndsay Parcell Riley | Occupational Therapist | 387 Heliport Loop Road, Bridgeport, WV 26330-2676 | 2012-10-16 |
| 1861748873 | Kimberly Ann Simms | Occupational Therapist | 37 Grande Meadows Dr, Suite 102, Bridgeport, WV 26330-9035 | 2012-07-27 |
| 1922382365 | Christel Pervola | Occupational Therapist | 141 State St, Bridgeport, WV 26330-1375 | 2011-10-04 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
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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.