| Alyssa Anne Goeddel, | |
|
1251 College Ave, Alton, IL 62002-6735 | |
| (618) 463-7849 | |
| Not Available |
| Full Name | Alyssa Anne Goeddel |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1251 College Ave, Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467085076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.013136 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Missouri Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417479494 PECOS PAC ID: 9234402470 Enrollment ID: O20170908002930 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083208391 PECOS PAC ID: 9830504836 Enrollment ID: O20210308002804 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Anne Goeddel, 1251 College Ave, Alton, IL 62002-6735 Ph: () - | Alyssa Anne Goeddel, 1251 College Ave, Alton, IL 62002-6735 Ph: (618) 463-7849 |
Robin Ileana Foster, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Glenhaven Dr, Alton, IL 62002 Phone: 618-462-1500 | |
Meagan Kallal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-463-5171 | |
Carol Grapperhaus, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3550 College Ave, Suite A, Alton, IL 62002 Phone: 618-465-6566 Fax: 618-465-6573 | |
Mrs. Margaret Miller Brorby, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7429 | |
Mrs. Carol L Babcock, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 E 5th St, Alton, IL 62002 Phone: 618-377-2449 | |
Amy Renee Niewald, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7429 | |
Andrea Davis, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-465-2571 |