Active NPI
Kimberly Sue Gonzalez
- Occupational Therapist
- Brownsville, TX
National Provider Identifier
1144477860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12822800
- Practice address
- 835 N Expressway
Suite a
Brownsville, TX 78520-6831 - Phone
- (956) 544-7722
- Fax
- (956) 544-7728
- NPI assigned
- Aug 25, 2008
- Last updated
- Apr 12, 2012
- 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 | 12822800 | TX | Primary |
Addresses
Primary practice location
835 N Expressway
Suite a
Brownsville, TX 78520-6831
Mailing address
835 N Expressway
Suite a
Brownsville, TX 78520-6831
Phone (956) 544-7722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169033101 | Medicaid | TX | |
| 45-4849 | Other | TX | MEDICARE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12822800 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Medical Investments, Inc. | Past | Accepting new patients | |
| Bright Medical Investments, Inc. | Past | Accepting new patients |
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.
-
dba Bright Start Children's Rehabilitation Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Brownsville, TX
- NPI 1043222052
-
dba Bright Start Children's Rehabilitation Center
- Speech-Language Pathologist
- Brownsville, TX
- NPI 1912282591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1144477860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 N EXPRESSWAY",
"address_2": "SUITE A",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785206831",
"telephone_number": "956-544-7722",
"fax_number": "956-544-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 N EXPRESSWAY",
"address_2": "SUITE A",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785206831",
"telephone_number": "956-544-7722",
"fax_number": "956-544-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-25",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "12822800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169033101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "45-4849",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.