Amanda Gonzales

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

2639 W Sr 434
Longwood, FL 32779-4878

Phone

(321) 972-8326

NPI assigned

Jan 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1225369754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 WHITNER WAY",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327736628",
            "telephone_number": "407-488-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 W SR 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794878",
            "telephone_number": "321-972-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Lake Mary Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327463501",
            "country_code": "US",
            "telephone_number": "407-323-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OTA9833",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glowspring Health LLC
• Ashley Gobeil, PH.D.
• Jean Michelle Godun
• Madhumathi Gokapai, MD
• Mariana Gomez, LSW
• Christopher Gonzalez, OTD
• Gabriella Claire Gonzalez
• Ibis E Gonzalez, APRN
• Yasmin Dianaris Gonzalez
• Joanna Goodman

• Occupational Therapy Assistant in Longwood, FL
• Providers in Longwood, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.