Individual provider Active NPI

Tiffany Marie Gonzalez, OTR

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1275258188
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21465 Issued in FL
Practice address
9425 SW 72ND St Ste 261
Miami, FL 33173-5457
Phone
(305) 271-7343
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 21465 FL Primary

Addresses

Primary practice location

9425 SW 72ND St Ste 261
Miami, FL 33173-5457

Mailing address

9425 SW 72ND St Ste 261
Miami, FL 33173-5457
Phone (305) 271-7343

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

LicenseStateTypeSpecialty
21465FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing and Speech Center of Florida Occupational Therapist CurrentSince Oct 9, 2022 Accepting new patients
Hearing and Speech Center of Florida PastSince Oct 9, 2022 Accepting new patients

Locations

9425 Sunset Dr
Ste 261
Miami, FL 33173
Phone (305) 271-7343

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1275258188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 SW 72ND ST STE 261",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735457",
            "telephone_number": "305-271-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 SW 72ND ST STE 261",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735457",
            "telephone_number": "305-271-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.