Active NPI
Michelle Nicole Gonzalez, OTR, OTD
- Occupational Therapist
- Temple, TX
National Provider Identifier
1689484388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 124058
- Practice address
- 6611 Abode Ave Apt 27205
Temple, TX 76502-4715 - Phone
- (956) 212-8673
- NPI assigned
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- No
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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250123000925 | TX | Practitioner - Occupational Therapist in Private Practice | 1557890332 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Therapy LLC | Occupational Therapist | Current | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 124058 | TX | Primary |
Addresses
Primary practice location
6611 Abode Ave Apt 27205
Temple, TX 76502-4715
Mailing address
6611 Abode Ave Apt 27205
Temple, TX 76502-4715
NPI Registry JSON
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1689484388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 ABODE AVE APT 27205",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765024715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 ABODE AVE APT 27205",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765024715",
"telephone_number": "956-212-8673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MICHELLE",
"middle_name": "NICOLE",
"credential": "OTR, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "124058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.