Active NPI
Amanda Beth Gomer
- Developmental Therapist
- Valrico, FL
National Provider Identifier
1649787920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 2001 River Park CT
Valrico, FL 33596 - Phone
- (813) 712-9975
- NPI assigned
- Jan 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
2001 River Park CT
Valrico, FL 33596
Mailing address
2001 River Park CT
Valrico, FL 33596-7233
Phone (813) 712-9975
Other practice location 1
4575 SE Dixie Hwy
Stuart, FL 34997-6826
Phone (855) 832-6727
Other practice location 2
2001 River Park Ct
Valrico, FL 33596
Phone (813) 712-9975
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Center for Attachment & Trauma, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Sarasota, FL
- NPI 1770018483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1649787920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 RIVER PARK CT",
"city": "VALRICO",
"state": "FL",
"postal_code": "335967233",
"telephone_number": "813-712-9975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 RIVER PARK CT",
"city": "VALRICO",
"state": "FL",
"postal_code": "33596",
"telephone_number": "813-712-9975"
}
],
"practiceLocations": [
{
"address_1": "4575 SE Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349976826",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 River Park Ct",
"address_purpose": "LOCATION",
"city": "Valrico",
"state": "FL",
"postal_code": "33596",
"country_code": "US",
"telephone_number": "813-712-9975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMER",
"first_name": "AMANDA",
"middle_name": "BETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.