Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theodore Alexander Goetz, OTR/L

Individual provider Occupational Therapist · NPI 1972170645

Theodore Alexander Goetz, OTR/L is an Occupational Therapist in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

15910 71st Ave Apt 3A
Fresh Meadows, NY 11365-3023
Phone: (646) 369-0910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 025527 (NY)

Record details

NPI number1972170645
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateJune 2, 2021

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