Active NPI
Angelica Gomez, OTA
- Occupational Therapy Assistant
- Lake Worth, FL
National Provider Identifier
1598676611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA20668
- Practice address
- 4165 N Landar Dr
Lake Worth, FL 33463-8904 - Phone
- (917) 496-0399
- NPI assigned
- Sep 16, 2026
- Last updated
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA20668 | FL | Primary |
Addresses
Primary practice location
4165 N Landar Dr
Lake Worth, FL 33463-8904
Mailing address
4165 N Landar Dr
Lake Worth, FL 33463-8904
Phone (917) 496-0399
Other names 1
- Angelica Vantuyl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1598676611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4165 N LANDAR DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334638904",
"telephone_number": "917-496-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4165 N LANDAR DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334638904",
"telephone_number": "917-496-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ANGELICA",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA20668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELICA",
"last_name": "VANTUYL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.