Active NPI
Julia Gomez, OT
- Occupational Therapist
- Caledonia, MI
National Provider Identifier
1104587161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201012713
- Practice address
- 7150 Kalamazoo Ave SE
Caledonia, MI 49316-9167 - Phone
- (616) 333-1800
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 5201012713 | MI | Primary |
Addresses
Primary practice location
7150 Kalamazoo Ave SE
Caledonia, MI 49316-9167
Mailing address
5060 Cascade Rd SE
Grand Rapids, MI 49546-3808
Phone (616) 333-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1104587161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463808",
"telephone_number": "616-333-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 KALAMAZOO AVE SE",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493169167",
"telephone_number": "616-333-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JULIA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201012713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caledonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.