Amelia Gonzalez

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

057002705 Issued in IL

Practice address

9524 S. Tripp Ave.
Oak Lawn, IL 60453

Phone

(773) 443-3411

Fax

(708) 425-8272

NPI assigned

Sep 1, 2016

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

Practice roles

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.

• Therapy 4 Tots Inc.

  • Occupational Therapist
  • Oak Lawn, IL
  • NPI 1366577413
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1487100111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 S. TRIPP AVE.",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "773-443-3411",
            "fax_number": "708-425-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 S. TRIPP AVE.",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "773-443-3411",
            "fax_number": "708-425-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "057002705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameer Gomberawalla, M.D.
• Aimee Louisa Gomez, LCPC
• Daniel Leonel Gomez, DO
• Sarah Elizabeth Gonzales Zoeteman, FNP
• Carolina Gonzalez Vazquez
• Andrea Isabel Gonzalez, MD
• Daniel Marcos Gonzalez, MD
• Maya Christy Gonzalez
• Paola Gonzalez
• Salvador Gonzalez Jr., OD

• Pediatric Occupational Therapist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.