Nicole Gonzalez Delgado, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-047168 Issued in AZ

Practice address

1830 S Alma School Rd Ste 122
Mesa, AZ 85210-3087

Phone

(480) 855-0474

NPI assigned

Mar 17, 2023

Last updated

Mar 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1356043111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 W CHICKASAW ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531135",
            "telephone_number": "602-882-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103087",
            "telephone_number": "480-855-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DELGADO",
        "first_name": "NICOLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-047168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Gonzales, RN
• Heather Lauren Gonzales, PH.D., BCBA-D, BHP
• Makenna Gonzales
• Maria Teresa Gonzales, AGNP-C
• Mariza Gonzales, M.A.
• Jasmyn Gonzalez Jauregui, RBT
• Keren Gonzalez Martinez
• Alexia Gonzalez
• Cynthia Gonzalez, MS,CF-SLP
• Eric Gabriel Gonzalez, MD

• Occupational Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.