Johanna Abadias Gonzalez, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT13260 Issued in FL

Practice address

6817 Southpoint Pkwy Ste 1602
Jacksonville, FL 32216-6298

Phone

(904) 945-7556

Fax

(904) 379-0113

NPI assigned

Aug 31, 2006

Last updated

Aug 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Step by Step Therapy LLC

  • Pediatric Occupational Therapist
  • Winder, GA
  • NPI 1164929337

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661644800000",
    "number": "1144332263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 CENTER ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320432113",
            "telephone_number": "904-837-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1602",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-945-7556",
            "fax_number": "904-379-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABADIAS GONZALEZ",
        "first_name": "JOHANNA",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-08-28",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3264",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT13260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032022269A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abiedu Charles Abaaba, M.D.
• Vera Utagah Abaaba, M.D.
• Abednerys Abad Heredia
• Rosemarie P Abad, MD
• Chloe Abadi
• Renante Abagat, PT
• Ida Mae Demayoga Abajon, M.D.
• Dayana Aballe Cantallops
• David Abarbanel, MD
• Ejigayehu Abate, MD

• Pediatric Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.