P Praxis·MD
● Active Type 1 · Individual

Teresa L Goodwin, COTA

Occupational Therapy Assistant·Pocatello, ID· NPI 1881748507 · Enumerated 2007 · 19 years on NPI
Goodwin is 1 of 9 occupational therapy assistant providers in Pocatello and 1 of 160 in Idaho.
NPI age
19 years
Enumerated 2007-01-22
Primary specialty
Occupational Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 160 active occupational therapy assistant providers in Idaho.

NPI age
19 years
↑ 9 yr above median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1957 Alvin Ricken Dr
Pocatello, ID 832012727
📞 2082357800
Mailing address
4317 Opal Ave Trlr 6
Pocatello, ID 832042168
📞 2082833087

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1127 Caldwell Blvd
Nampa, ID 83631
📞 2084654935fax 2084654771

Specialties

  • Occupational Therapy Assistant Primary
    An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has...
    ID license #OTA182 taxonomy 224Z00000X

Practice context

Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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