Individual provider Active NPI

Stephanie Marie Gonzalez

  • Speech-Language Pathologist
  • Hialeah Gardens, FL
National Provider Identifier
1669937652
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA23155 Issued in FL
Practice address
9399 NW 121St Ter
Hialeah Gardens, FL 33018-4225
Phone
(786) 412-3162
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA23155 FL Primary

Addresses

Primary practice location

9399 NW 121St Ter
Hialeah Gardens, FL 33018-4225

Mailing address

6996 W 25TH LN
Hialeah, FL 33016-5459
Phone (786) 521-9501

Other practice location 1

1861 NW 123rd Ave
Pembroke Pines, FL 33026-3825
Phone (786) 216-5453

Other practice location 2

17900 NW 5th St Ste 201
Pembroke Pines, FL 33029-2809
Phone (954) 606-5439

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

LicenseStateTypeSpecialty
SA23155FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy of South Florida LLC Single Specialty PastSince Apr 9, 2023 Accepting new patients
My Therapy Center, Inc. Single Specialty Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1669937652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6996 W 25TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165459",
            "telephone_number": "786-521-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 NW 121ST TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184225",
            "telephone_number": "786-412-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1861 NW 123rd Ave",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330263825",
            "country_code": "US",
            "telephone_number": "786-216-5453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17900 NW 5th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292809",
            "country_code": "US",
            "telephone_number": "954-606-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.