Individual provider Active NPI

Jerika Suzanne Gomez, MSOT

  • Occupational Therapist
  • Saginaw, MI
National Provider Identifier
1023381977
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7503 Issued in SC
Practice address
5935 Shattuck Rd
Saginaw, MI 48603-2699
Phone
(989) 399-2001
Fax
(989) 790-5767
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7503 SC Primary
Occupational Therapist 225X00000X 5201008166 MI

Addresses

Primary practice location

5935 Shattuck Rd
Saginaw, MI 48603-2699

Mailing address

4023 Indian Hills LN
Indian Land, SC 29707-7751
Phone (989) 600-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424003560 SC Practitioner - Occupational Therapist in Private Practice 5698291367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group of South Carolina IncGroup PAC ID 2062651185, 80 clinicians
Reinvent Health Inc.Group PAC ID 2264964477, 38 clinicians

Practice addresses (Care Compare)

60 Oak Forest Rd
Bluffton, SC 29910-5010
Phone (843) 815-5557

900 Trail Ridge Rd
Suite 101
Aiken, SC 29803-7766
Phone (405) 821-6648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201008166MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group of South Carolina Inc Occupational Therapist CurrentSince Oct 21, 2025 Accepting new patients
Reinvent Health Inc CurrentSince Mar 11, 2025 Accepting new patients

Locations

900 Trail Ridge Rd
Ste 101
Aiken, SC 29803
Phone (405) 821-6648

872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050

8154 English Clover Ln
Indian Land, SC 29707
Phone (803) 590-7005

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1023381977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 INDIAN HILLS LN",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077751",
            "telephone_number": "989-600-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032699",
            "telephone_number": "989-399-2001",
            "fax_number": "989-790-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JERIKA",
        "middle_name": "SUZANNE",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7503",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.

Verify at the official NPI Registry.