Active NPI
Florie Gonzales Jr., OTR/L, CHT
- Occupational Therapist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60669325
- Practice address
- 3927 Rucker Ave
Everett, WA 98201-4833 - Phone
- (425) 339-5491
- Fax
- (425) 339-4219
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | KY-R2223 | KY | |
| Occupational Therapist | 225X00000X | OT60669325 | WA | Primary |
Addresses
Primary practice location
3927 Rucker Ave
Everett, WA 98201-4833
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 339-5491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Roosevelt Ave
Suite B
Mount Vernon, WA 98273-2646
Phone (360) 424-5215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-R2223 | KY | MD | Military Health Care Provider |
| OT60669325 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Health Services Inc. | Occupational Therapist | Current | Accepting new patients |
| Northwest Return to Work Mt Vernon | Current | Accepting new patients | |
| Valley Rehab Physical Therapy Inc | Current | Accepting new patients | |
| Capstone Health Services Inc. | Occupational Therapist | Current | Accepting new patients |
| Capstone Health Services Inc. | Current | Accepting new patients |
Locations
414 W Bakerview Rd
Ste 110
Bellingham, WA 98226
Phone (360) 223-3696
8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876
1600 Roosevelt Ave
Ste B
Mount Vernon, WA 98273
Phone (360) 424-5215
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Mount Vernon, WA
- NPI 1609279017
-
- Physical Therapist
- Lynden, WA
- NPI 1336407956
-
- Physical Therapist
- Bellingham, WA
- NPI 1831757848
Occupational Therapist
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1881810521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1003823360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-339-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3927 RUCKER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014833",
"telephone_number": "425-339-5491",
"fax_number": "425-339-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "FLORIE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "KY",
"license": "KY-R2223",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60669325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.