Active NPI
Delia Iris Gonzalez, OTR/L
- Occupational Therapist
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10184
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT10184 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheelchair Clinic Inc | Occupational Therapist | Current | 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.
-
- Rehabilitation Practitioner
- Fort Myers, FL
- NPI 1700843414
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.