| Trista Goetz, OT | |
|
290 Clyde Morris Blvd Ste A1, Ormond Beach, FL 32174-8204 | |
| (386) 898-0443 | |
| (386) 898-0459 |
| Full Name | Trista Goetz |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 290 Clyde Morris Blvd Ste A1, Ormond Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003483397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT21884 (Florida) | Primary |
| Provider Name | Ability Health Services And Rehabilitation Lp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1447950340 PECOS PAC ID: 4981986288 Enrollment ID: O20170503001654 |
| Mailing Address | Practice Location Address |
|---|---|
| Trista Goetz, OT 336 Broad St # 203, Rome, GA 30161-3006 Ph: (386) 898-0443 | Trista Goetz, OT 290 Clyde Morris Blvd Ste A1, Ormond Beach, FL 32174-8204 Ph: (386) 898-0443 |
Mrs. Suzanne M Vienneau, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 93 Pinecrest Ave, Ormond Beach, FL 32176 Phone: 386-871-5449 | |
Lori Ann Bosset, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Clyde Morris Blvd Ste A1, Ormond Beach, FL 32174 Phone: 386-898-0443 Fax: 386-898-0459 | |
Mrs. Julie Thompson, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 49 Pinto Ln, Ormond Beach, FL 32174 Phone: 386-503-1362 Fax: 386-947-4645 | |
Melba Cecilia Ramirez, OT/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 710 S Beach St, Ormond Beach, FL 32174 Phone: 386-214-8384 | |
Camila Perez-albert, OTR/L, DPT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Clyde Morris Blvd, Suite B2, Ormond Beach, FL 32174 Phone: 386-898-0443 | |
Mrs. Geertrui Peeters, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 N Center St, Ormond Beach, FL 32174 Phone: 386-672-0830 |