MIA GOODLY
NPI 1639623499
Occupational Therapy Assistant in Port Orange, FL

Active since August 10, 2016
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128(888) 265-2680 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mia Goodly NPPES

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

MIA GOODLY (NPI 1639623499) is an individual occupational therapy assistant in Port Orange, Florida, licensed in Illinois (057004116) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1639623499
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameMIA GOODLY
Location Address5535 S WILLIAMSON BLVD, SUITE 774Port Orange, FL 32128-8311
Mailing Address5535 S Williamson Blvd, Suite 774Port Orange, FL 32128-8311
Sole ProprietorYes
Enumeration DateAugust 10, 2016
NPI 1639623499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in IL · 057004116
Definition
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 successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
5535 S WILLIAMSON BLVD, Port Orange, FL 32128

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
5535 S WILLIAMSON BLVD, STE 774
PORT ORANGE, FL 32128
Occupational Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Physical Therapist
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128
Occupational Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Physical Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Speech-Language Pathologist
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128
Physical Therapy Assistant
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Physical Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128

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 Mia Goodly's NPI number?

The NPI number for Mia Goodly is 1639623499. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Mia Goodly located?

Mia Goodly practices at 5535 S Williamson Blvd Suite 774, Port Orange, FL 32128. The listed phone number is (888) 265-2680.

What is Mia Goodly's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Mia Goodly was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.