Angelica Araceli Goodrich, OTR/L
Occupational Therapist in Versailles, MO. Individual provider (NPI-1).
NPI number1669095980
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1669095980
- Entity type
- Individual (NPI-1)
- Name
- Angelica Araceli Goodrich
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2020
- Certification date
- May 29, 2025
- Last updated
- Jun 5, 2025
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 | 2020010011 | MO | Yes |
Practice location
1101 W Clay Rd # 1177Versailles, MO 65084-1177
Phone 573-378-5411
Mailing address
44 Highway ZEldon, MO 65026-4817
Phone 785-893-3305
Other practice locations
640 Northwind Dr
Nixa, MO 65714-7708
Nixa, MO 65714-7708
Phone 785-893-3305
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