Trista Goetz, OT
Occupational Therapist in Ormond Beach, FL. Individual provider (NPI-1).
NPI number1003483397
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1003483397
- Entity type
- Individual (NPI-1)
- Name
- Trista Goetz
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT21884 | FL | Yes |
Practice location
290 Clyde Morris Blvd Ste A1Ormond Beach, FL 32174-8204
Phone 386-898-0443 · Fax 386-898-0459
Mailing address
336 Broad St # 203Rome, GA 30161-3006
Phone 386-898-0443 · Fax 386-898-0459
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Occupational Therapist providers in Ormond Beach · All 1,764 providers in Ormond Beach
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