Joe Robert Gonzales Jr., OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113930 Issued in AK

Practice address

398 Hamilton Ave
Fairbanks, AK 99701-3537

Phone

(907) 374-4911

NPI assigned

Jul 29, 2016

Last updated

Jul 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1083167746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 HAMILTON AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013537",
            "telephone_number": "907-374-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 HAMILTON AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013537",
            "telephone_number": "907-374-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JOE",
        "middle_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "113930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden North Optics, Inc
• Golden Solutions in Home Care
• Golden Solutions Senior Services LLC
• Golden Valley Electric Association
• Kari Lynn Gondeck, APNP
• Beverly Gonzalez
• Caitlin Marie Gonzalez
• Kelsi Lynn Gonzalez
• Stasha Goodin, PHARMD
• Lawrence A Gooding, M.S. & PH.D.

• Occupational Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.