Active NPI
Stephanie Gonzalez
- Occupational Therapist
- Miami, FL
National Provider Identifier
1609535541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT22524
- Practice address
- 15567 SW 62ND Ter
Miami, FL 33193-2561 - Phone
- (305) 979-6229
- NPI assigned
- Dec 8, 2021
- 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 Therapist | 225X00000X | OT22524 | FL | Primary |
Addresses
Primary practice location
15567 SW 62ND Ter
Miami, FL 33193-2561
Mailing address
15567 SW 62ND Ter
Miami, FL 33193-2561
Phone (305) 979-6229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G524-780-91-556-0 | Other | FL | DRIVERS LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT22524 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1609535541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15567 SW 62ND TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932561",
"telephone_number": "305-979-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15567 SW 62ND TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932561",
"telephone_number": "305-979-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT22524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE NUMBER",
"identifier": "G524-780-91-556-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.