Noel Gonzalez, OTR, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

115896 Issued in TX

Practice address

2445 Missouri Ave
Suite a
Las Cruces, NM 88001-5111

Phone

(575) 523-8080

NPI assigned

Feb 7, 2014

Last updated

Jun 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NM

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Function Therapy Specialists IncGroup PAC ID 2860898111, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Function Therapy Specialists, Inc

  • Physical Therapy Clinic/Center
  • Las Cruces, NM
  • NPI 1982370755

  Occupational Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Elite Primary Care LLC

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1669945002
  Medicare reassignment
• Elite Primary Care, LLC

  dba Elite Methadone

  • Methadone Clinic
  • Las Cruces, NM
  • NPI 1568168342
  NPD

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1184048456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 MISSOURI AVE",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015111",
            "telephone_number": "575-523-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 MISSOURI AVE",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015111",
            "telephone_number": "575-523-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NOEL",
        "credential": "OTR, MOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Ricardo Gonzalez
• Manuel Gonzalez
• Maria De Jesus Gonzalez, LPC, NCC
• Matthew Wayne Gonzalez, PT
• Melva Gonzalez, LPN
• Orlando Gonzalez, TLMHC, LPC
• Patricia D Gonzalez, RVT
• Roxana Gonzalez, LMSW
• Stephanie Gonzalez, DPM
• Stephanie A Gonzalez

• Occupational Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.