Individual provider Active NPI

Catalina Gomez

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1093392284
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21757 Issued in FL
Practice address
3451 Technological Ave Ste 1
Orlando, FL 32817-8353
Phone
(407) 681-2520
Fax
(407) 249-1414
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 OT21757 FL Primary

Addresses

Primary practice location

3451 Technological Ave Ste 1
Orlando, FL 32817-8353

Mailing address

3451 Technological Ave Ste 1
Orlando, FL 32817-8353
Phone (407) 681-2520

Other practice location 1

765 W State Road 434 Ste A
Longwood, FL 32750-4936
Phone (407) 831-6801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702003884 FL Practitioner - Occupational Therapist in Private Practice 4587177464 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT21757FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince May 19, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince May 19, 2025 Accepting new patients

Locations

765 W State Road 434
Ste A
Longwood, FL 32750
Phone (407) 830-1100

1915 S Dean Rd
Ste 170
Orlando, FL 32825
Phone (689) 610-7754

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1093392284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 TECHNOLOGICAL AVE STE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178353",
            "telephone_number": "407-681-2520",
            "fax_number": "407-249-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 TECHNOLOGICAL AVE STE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178353",
            "telephone_number": "407-681-2520",
            "fax_number": "407-249-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 W State Road 434 Ste A",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327504936",
            "country_code": "US",
            "telephone_number": "407-831-6801",
            "fax_number": "406-831-6809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CATALINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.