Heather Gomez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119006264 Issued in VA

Practice address

1800 Cameron Glen Dr
Reston, VA 20190-3308

Phone

(703) 834-5800

NPI assigned

May 28, 2014

Last updated

Dec 19, 2018By the provider in NPPES

Sex

Female

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 DC, VA2 enrollments

Enrollment records 2

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.

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1215349980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CAMERON GLEN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903308",
            "telephone_number": "703-834-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CAMERON GLEN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903308",
            "telephone_number": "703-834-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "HEATHER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garland Dwain Glenn II, D.C.
• Jean Susan Glossa, M.D.
• Linda Rose Goglia, PHD
• Marcy Goldberg, OD
• Nicole S. Goldberg, CPNP
• Melanie Recel Gonzaga, DPT
• Monica Isabel Gonzalez Cejo, PA-C
• Rodolfo Hector Gonzalez, M.D.
• Gonzalo Romero, MD PC
• Good Hope Home Healthcare LLC

• Occupational Therapist in Reston, VA
• Providers in Reston, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.