Organization Active NPI

Jeniffer Gonzalez, Ms, Otr/L, P.a.

  • Pediatric Occupational Therapist
  • Sunrise, FL
National Provider Identifier
1366138794
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
JENIFFER GONZALEZ, MS, OTR/L, P.A.
Practice address
1165 NW 134TH Ave
Sunrise, FL 33323-2914
Phone
(786) 877-9293
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Jeniffer Gonzalez, MS, OTR/LNPI 1669648200
Title
Owner
Phone
(786) 877-9293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1165 NW 134TH Ave
Sunrise, FL 33323-2914

Mailing address

1165 NW 134TH Ave
Sunrise, FL 33323-2914
Phone (786) 877-9293

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1366138794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NW 134TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232914",
            "telephone_number": "786-877-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NW 134TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232914",
            "telephone_number": "786-877-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIFFER GONZALEZ, MS, OTR/L, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JENIFFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-877-9293",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.