Active NPI
Katherine Whitmer Gonzales, OTR
- Occupational Therapist
- Mansfield, TX
National Provider Identifier
1508416082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118973
- Practice address
- 2700 E Broad St
Mansfield, TX 76063-5899 - Phone
- (682) 242-2000
- NPI assigned
- Sep 16, 2019
- Last updated
- Apr 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 118973 | TX | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Bryan, TX
- NPI 1710187737
-
- Physical Therapy Clinic/Center
- North Richland Hills, TX
- NPI 1942812821
-
- Physical Therapist
- Bryan, TX
- NPI 1629522818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1508416082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9646 ESCONDIDO LN",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778453038",
"telephone_number": "903-987-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E BROAD ST",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635899",
"telephone_number": "682-242-2000"
}
],
"practiceLocations": [
{
"address_1": "1600 Joseph Dr",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "TX",
"postal_code": "778021502",
"country_code": "US",
"telephone_number": "979-213-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "KATHERINE",
"middle_name": "WHITMER",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.