Active NPI
Jeniffer Gonzalez, Ms, Otr/L, P.a.
- Pediatric Occupational Therapist
- Sunrise, FL
National Provider Identifier
1366138794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeniffer Gonzalez, MS, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 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 DirectoryPractitioners & 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.