Erilen Ana Gomez, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

190 Moravian Way Dr
Winston Salem, NC 27106-3216

Phone

(336) 767-8130

NPI assigned

Jul 10, 2024

Sex

Female

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

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1104663871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 REVERE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034843",
            "telephone_number": "434-960-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MORAVIAN WAY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063216",
            "telephone_number": "336-767-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ERILEN",
        "middle_name": "ANA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Golenbiewski, D.O.
• Daniel Howard Golwyn Jr., MD
• Arvind Muralimohan Gomadam, MD
• Pallavi Sharma Gomadam, MD
• Maria Alejandra Gomez Mihalik, PA-C
• Hollie Marie Gomez, LCSW
• Mutsuko Gonokami-Curia, OTR/L
• Clifford Fontanilla Gonzales, CRNA
• Mary Alice Gonzales, LPCA
• Savannah Rae Gonzales, CCC-SLP

• Occupational Therapy Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.