Active NPI
Stephanie Gonzalez, OTR
- Occupational Therapist
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT22411
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT22411 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Movement Therapy Center-Boynton Beach Inc | Occupational Therapist | Current | Accepting new patients |
| Florida Movement Therapy Center-Boca Raton, LLC | Current | 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.
-
- Geriatric Physical Therapist
- Boca Raton, FL
- NPI 1407118268
-
- Physical Therapist
- Boynton Beach, FL
- NPI 1013105196
Occupational Therapist
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.