ALYSSA ANNE GOEDDEL (NPI# 1467085076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467085076 |
| Entity Type | Individual |
| Full Name | ALYSSA ANNE GOEDDEL |
| Practice Address |
1251 College Ave Alton IL 62002-6735 |
| Practice Telephone | 6184637849 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.013136 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1251 COLLEGE AVE |
| City | ALTON |
| State | IL |
| Zip Code | 62002-6735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356365670 | Alton Memorial Hospital | Skilled Nursing Facility | 1251 College Ave, Alton, IL 62002-6735 | 2006-07-27 |
| 1659978286 | Maren Valyo | Speech-Language Pathologist | 1251 College Ave, Alton, IL 62002-6735 | 2020-10-06 |
| 1366050007 | Generation Clinical Partners LLC | Clinic/Center | 1251 College Ave, Alton, IL 62002-6735 | 2020-07-20 |
| 1053853390 | Kiley Havera | Occupational Therapist | 1251 College Ave, Alton, IL 62002-6735 | 2016-11-16 |
| 1649641580 | Kindred Health Care | Skilled Nursing Facility | 1251 College Ave, Alton, IL 62002-6735 | 2015-10-19 |
| 1306221346 | Eric Shing Lee | Internal Medicine | 1251 College Ave, Alton, IL 62002-6735 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| 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 |
|---|---|---|---|---|
| 1962700468 | Lindsay Renee Hoffman | Occupational Therapist | 921 E. Main, Suite 5, Alton, TX 78573 | 2011-03-08 |
| 1467657718 | Lori Michele Tassinari | Occupational Therapist | 878 Marc Dr, Alton, IL 62002-4268 | 2007-06-18 |
| 1417172172 | Ellen Marie Tanner | Occupational Therapist | 4823 Storeyland Dr, Alton, IL 62002-5835 | 2007-04-16 |
| 1023649761 | Robin Ileana Foster | Occupational Therapist | 100 Glenhaven Dr, Alton, IL 62002-6759 | 2020-01-31 |
| 1760039622 | Primeros Pasos Rehab, LLC | Occupational Therapist | 8115 N Los Ebanos Rd Ste 4, Alton, TX 78573-1670 | 2019-08-23 |
| 1932682101 | Hannah Josephine Mallets | Occupational Therapist | 1 Memorial Dr, Alton, IL 62002-6722 | 2018-09-12 |
| 1063950061 | Meagan Kallal | Occupational Therapist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2017-02-09 |
| 1417495896 | Alyssa Embick | Occupational Therapist | 815 E 5th St, Alton, IL 62002-6471 | 2017-02-06 |
| 1053853390 | Kiley Havera | Occupational Therapist | 1251 College Ave, Alton, IL 62002-6735 | 2016-11-16 |
| 1598149270 | Julian Salinas | Occupational Therapist | 1315 W Main Ave Ste 11, Alton, TX 78573-1643 | 2015-07-13 |
| Find all providers in ALTON | ||||
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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.