Individual provider Active NPI

Delia Iris Gonzalez, OTR/L

  • Occupational Therapist
  • Daytona Beach, FL
National Provider Identifier
1144468885
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10184 Issued in FL
Practice address
211 N Ridgewood Ave Ste 300
Daytona Beach, FL 32114-3294
Phone
(386) 235-6080
NPI assigned
Feb 3, 2009
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT10184 FL
Occupational Therapist 225X00000X OT10184 FL Primary

Addresses

Primary practice location

211 N Ridgewood Ave Ste 300
Daytona Beach, FL 32114-3294

Mailing address

5554 Estero Loop
Port Orange, FL 32128-0006
Phone (386) 589-1206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240509002182 FL Practitioner - Occupational Therapist in Private Practice 4082055900 Reassigns benefits to 1 organization
I20240518000600 SC Practitioner - Occupational Therapist in Private Practice 4082055900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT10184FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheelchair Clinic Inc Occupational Therapist CurrentSince Mar 30, 2024 Accepting new patients
Community Rehab Services, Inc. Past Accepting new patients

Locations

5252 S Tamiami Trl
Ste 16
Sarasota, FL 34231
Phone (801) 440-5592

1293 Professional Dr
Ste D
Myrtle Beach, SC 29577
Phone (801) 440-5592

2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1144468885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 ESTERO LOOP",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321280006",
            "telephone_number": "386-589-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N RIDGEWOOD AVE STE 300",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143294",
            "telephone_number": "386-235-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DELIA",
        "middle_name": "IRIS",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT10184",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

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