Katherine Whitmer Gonzales, OTR
Individual provider Active NPI Occupational Therapist · Mansfield, TX
NPI 1508416082 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1508416082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 118973 (TX)
- Practice address
- 2700 E Broad St
Mansfield, TX 76063-5899 - Phone
- (682) 242-2000
- NPI assigned
- Sep 16, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230506000006 | TX | Practitioner - Occupational Therapist in Private Practice | 8325403827 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118973 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Therapy PC | Current |
Accepting new patients | |
| All in All Neuro Rehab and Wellness LLC | Current |
Accepting new patients | |
| Advance Therapy PC | Past |
Accepting new patients |
Locations
3700 Cross Park Dr
Bryan, TX 77802
Phone (979) 774-9958
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 118973 | TX | Yes |
Addresses
Primary practice location
2700 E Broad St
Mansfield, TX 76063-5899
Mailing address
9646 Escondido LN
College Station, TX 77845-3038
Phone (903) 987-1125
Other practice location 1
1600 Joseph Dr
Bryan, TX 77802-1502
Phone (979) 213-4300
Other providers in Mansfield, TX
- Lauren Audrey Glover
- Thomas John Goaley Jr.
- Chasity Goins
- Khubaib Nazir Gondal
- Clarissa Gonsalves
- Amy N Gonzalez
- Ana Maria Gonzalez
- Good Ground Therapy PLLC
- Lachelle G Goodrich
- Alka Goodwin
All providers in Mansfield, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.