Active NPI
Deanna Maria Gonzalez, OTR
- Occupational Therapist
- Fort Hood, TX
National Provider Identifier
1003935297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111745
- Practice address
- Darnall Army Medical Center
Occupational Therapy Department
Fort Hood, TX 76544-5063 - Phone
- (254) 288-8030
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111745 | TX | Primary |
Addresses
Primary practice location
Darnall Army Medical Center
Occupational Therapy Department
Fort Hood, TX 76544-5063
Mailing address
4904 Misty Cir
Killeen, TX 76542-7812
Phone (512) 773-3877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111745 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003935297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4904 MISTY CIR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765427812",
"telephone_number": "512-773-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DARNALL ARMY MEDICAL CENTER",
"address_2": "OCCUPATIONAL THERAPY DEPARTMENT",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765445063",
"telephone_number": "254-288-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DEANNA",
"middle_name": "MARIA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.