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MRS. STACEY P GOODMAN COTA
NPI 1568639490
Specialist in South Bend, IN

Active since May 09, 2008
926 E WAYNE ST, SOUTH BEND, IN 46617(574) 233-8812(574) 233-8873 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Stacey P Goodman Cota NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACEY P GOODMAN COTA (NPI 1568639490) is an individual specialist in South Bend, Indiana, licensed in Indiana (32000767A) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1568639490
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. STACEY P GOODMANCredential: COTA
Location Address926 E WAYNE STSouth Bend, IN 46617-3000
Mailing Address10379 Edison RdOsceola, IN 46561-9355 · (574) 674-0575 · Fax (574) 674-0575
Phone(574) 233-8812
Fax(574) 233-8873
Sole ProprietorYes
Enumeration DateMay 9, 2008
✔ NPI 1568639490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 32000767A
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
926 E WAYNE ST, South Bend, IN 46617
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN KONECNY
Occupational Therapy Assistant
926 E WAYNE ST
SOUTH BEND, IN 46617
St. Joseph County (574) 233-8812
MR. CHRISTOPHER J HIPSHER COTA/L
Occupational Therapy Assistant
926 E WAYNE ST
SOUTH BEND, IN 46617
St. Joseph County (574) 233-8812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Goodman's NPI number?

The NPI number for Stacey Goodman is 1568639490. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Stacey Goodman located?

Stacey Goodman practices at 926 E Wayne St, South Bend, IN 46617. The listed phone number is (574) 233-8812.

What is Stacey Goodman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stacey Goodman was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.