Michael Thomas Goode, OTR/L | |
1400 Circle City Dr, Corona, CA 92879-1642 | |
(951) 735-0252 | |
Not Available |
Full Name | Michael Thomas Goode |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 1400 Circle City Dr, Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699479261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 24742 (California) | Primary |
Provider Name | Sand Coast Rehab Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
Mailing Address | Practice Location Address |
---|---|
Michael Thomas Goode, OTR/L 918 Mabury St, Santa Ana, CA 92701-4461 Ph: (714) 905-4066 | Michael Thomas Goode, OTR/L 1400 Circle City Dr, Corona, CA 92879-1642 Ph: (951) 735-0252 |
Kayla Chism, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 Sunset Rose Dr, Corona, CA 92883 Phone: 909-278-3182 | |
David Jireh Peig, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4300 Green River Rd Ste 114, Corona, CA 92878 Phone: 951-382-4238 | |
Marielle Cabuhat Cesa, MAOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2795 Cabot Dr Ste 6-115, Corona, CA 92883 Phone: 951-340-0431 Fax: 951-893-5135 | |
John Russell Lorenzo, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2815 S Main St, Corona, CA 92882 Phone: 951-475-1307 Fax: 951-475-1308 | |
Mrs. Geraldine Pancho, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11352 Bluebird Way, Corona, CA 92883 Phone: 951-256-6688 | |
Ms. Thuy Ngoc Phan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2615 Presidio Ln, Corona, CA 92879 Phone: 909-556-5756 | |
James D Smith, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Circle City Dr, Corona, CA 92879 Phone: 951-735-0252 |