Amanda Naomi Gonzales, MOT, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

111197 Issued in TX

Practice address

512 Victoria LN Ste 13
Harlingen, TX 78550-3228

Phone

(956) 412-6060

Fax

(956) 412-6070

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1629217815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN STE 13",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503228",
            "telephone_number": "956-412-6060",
            "fax_number": "956-412-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN STE 13",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503228",
            "telephone_number": "956-412-6060",
            "fax_number": "956-412-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "AMANDA",
        "middle_name": "NAOMI",
        "credential": "MOT, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "111197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "676617",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178709501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0046NN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "00994Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Adrian Gomez, LVN
• Lori Ann Gomez, PA
• Sandra H Gomez, DNP, MSN, RN
• Gonzales Oral & Maxillofacial Surgery PLLC
• Abel Gonzales, RN
• Amy Gonzales
• Anita Gonzales
• Candace Gonzales, LVN
• Cecilia Christine Gonzales, PMHNP-BC
• Cindy G Gonzales

• Pediatric Occupational Therapist in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.