Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Sammy H Goedrich, OTR

Occupational Therapist in Boonville, MO · enumerated 2009 · practices at Excel Physical Therapy & Sports Medicine Clinic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124264775

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Registry record

Entity type Individual (Type 1)

Name Sammy H Goedrich

Credential OTR

Sex Male

Practice address 1420 W Ashley Rd, Boonville, MO, 65233

Phone (660) 882-6115

Enumeration date Jan 5, 2009

Last updated in NPPES Apr 1, 2011

Taxonomy & licenses

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2000168663 (MO) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1124264775 active?

Yes, as of the latest NPPES snapshot, NPI 1124264775 is active (record last updated 2011-04-01).

How do I verify Sammy Goedrich's NPI record?

Cross-check NPI 1124264775 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-01.