Theodore Alexander Goetz, OTR/L

Occupational Therapist · Fresh Meadows, NY

Individual Active NPI

NPI number 1972170645

Practice location

15910 71st Ave Apt 3a
Fresh Meadows, NY 11365-3023
Phone
(646) 369-0910

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NPI record

NPI
1972170645
Entity type
Individual (Type 1)
Enumeration date
June 9, 2021
Last updated
June 9, 2021
Certified
June 2, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 025527 NY

About Theodore Goetz

Theodore Alexander Goetz, OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 15910 71st Ave Apt 3a, Fresh Meadows, NY 11365-3023. The NPI number 1972170645 was assigned on June 9, 2021 and the record was last updated on June 9, 2021.

Theodore Goetz lists a license in the registry: #025527 (NY) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Theodore Alexander Goetz, OTR/L?

The NPI number is 1972170645.

What is the phone number of Theodore Goetz?

The phone number listed for the practice location is (646) 369-0910.

Where is Theodore Goetz located?

15910 71st Ave Apt 3a, Fresh Meadows, NY 11365-3023.

What is the taxonomy code for Theodore Goetz?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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