Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jaclyn Rae Goss

Individual provider Occupational Therapist · NPI 1912488370

MS. Jaclyn Rae Goss is an Occupational Therapist in Private Practice in Summit, New Jersey. Qualified in 2019, 7 years ago. Practices with Life Home Therapy LLC, a 46-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland and New Jersey.

Years since qualifying
7
Licensed in
MD, NJ
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

41 Springfield Ave
Summit, NJ 07901-4038
Phone: (908) 795-8616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8808 Fox Hills Trl, Potomac, MD 20854-4211 — (301) 785-2768
  • 9909 Medical Center Dr, Rockville, MD 20850-6361 — (301) 785-2768

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR01078300 (NJ)
Occupational Therapist Taxonomy 225X00000X · Licence 08723 (MD)

Record details

NPI number1912488370
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2018
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address112 Mount Kemble Ave, Morristown, NJ 07960-5134

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Life Home Therapy Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Summit