Individual provider Active NPI

Stephanie Gonzalez, OTR

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1023739232
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22411 Issued in FL
Practice address
900 W 49TH St Ste 332
Hialeah, FL 33012-3489
Phone
(786) 789-5305
Fax
(786) 789-5315
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT22411 FL Primary

Addresses

Primary practice location

900 W 49TH St Ste 332
Hialeah, FL 33012-3489

Mailing address

1285 NE 137TH Ter
North Miami, FL 33161-3420
Phone (305) 409-0923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203002126 FL Practitioner - Occupational Therapist in Private Practice 1254861446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Movement Therapy Center-Boynton Beach IncGroup PAC ID 1759464837, 17 clinicians
Florida Movement Therapy Center-Boca Raton, LLCGroup PAC ID 6507014768, 13 clinicians

Practice addresses (Care Compare)

12040 S Jog Rd
Suite 8
Boynton Beach, FL 33437-4164
Phone (561) 733-5083

21345 Powerline Rd
Suite 100
Boca Raton, FL 33433-2307
Phone (561) 883-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT22411FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Movement Therapy Center-Boynton Beach Inc Occupational Therapist CurrentSince Feb 1, 2025 Accepting new patients
Florida Movement Therapy Center-Boca Raton, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

21345 Powerline Rd
Ste 100
Boca Raton, FL 33433
Phone (561) 883-7800

12040 S Jog Rd
Ste 8
Boynton Beach, FL 33437
Phone (561) 733-5083

Organizations & group practices 2

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1023739232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 NE 137TH TER",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331613420",
            "telephone_number": "305-409-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 332",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123489",
            "telephone_number": "786-789-5305",
            "fax_number": "786-789-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "STEPHANIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.