Individual provider Active NPI

Andrea Pena Gamez

  • Occupational Therapist
  • Riverview, FL
National Provider Identifier
1669262432
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26394 Issued in FL
Practice address
8451 US 301 S
Riverview, FL 33578-5450
Phone
(813) 359-9940
NPI assigned
May 7, 2025
Last updated
Aug 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Occupational Therapist 225X00000X 26394 FL Primary

Addresses

Primary practice location

8451 US 301 S
Riverview, FL 33578-5450

Mailing address

PO Box 97
Elfers, FL 34680-0097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021001760 FL Practitioner - Occupational Therapist in Private Practice 2466940606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10101 87TH St
Vero Beach, FL 32967-3325

479 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731

PO Box
Suite 97
Elfers, FL 34680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26394FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Lymphatics, Inc Occupational Therapist CurrentSince Sep 29, 2025 Accepting new patients
Healthy Lymphatics Inc Current Accepting new patients
QRM Plus Florida - OT LLC Occupational Therapist CurrentSince Aug 12, 2025 Accepting new patients

Locations

479 NW Prima Vista Blvd
Port St Lucie, FL 34983
Phone (772) 408-4848

670 Flushing Ave
Ste 307
Brooklyn, NY 11206

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1669262432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "ELFERS",
            "state": "FL",
            "postal_code": "346800097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 US 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785450",
            "telephone_number": "813-359-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA GAMEZ",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "26394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.