Constance Gonzalez, OTR/L
Individual provider Active NPI Occupational Therapist · Laurel, NY
NPI 1649068586 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1649068586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 030015 (NY)
- Practice address
- 1977 Main Rd
Laurel, NY 11948-1316 - Phone
- (631) 605-1325
- NPI assigned
- Apr 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Metro Physical Occupational Speech Massage Therapy and Acupuncture PLL
Practice addresses (Care Compare)
800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250507001802 | NY | Practitioner - Occupational Therapist in Private Practice | 2466979067 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Occupational Therapist | Current |
Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 030015 | NY | Yes |
Addresses
Primary practice location
1977 Main Rd
Laurel, NY 11948-1316
Mailing address
1977 Main Rd
Laurel, NY 11948-1316
Phone (631) 605-1325
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
Other providers in Laurel, NY
- Jocelyne Andrea Alvarez
- Bellino Learning Corporation
- Jaclyn Campson
- Tara Lynn Kupecki
- Nyla Claire Lamm
- Lisa M Macaluso
- Katelynn Moisa
- Maureen Novak
All providers in Laurel, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.