Active NPI
Rosa M. Roman Gonzalez, OT
- Pediatric Occupational Therapist
- Lake Worth, FL
National Provider Identifier
1710134838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 13282
- Practice address
- 6164 Willoughby Cir
Lake Worth, FL 33463-9308 - Phone
- (732) 896-8373
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 13282 | FL | Primary |
Addresses
Primary practice location
6164 Willoughby Cir
Lake Worth, FL 33463-9308
Mailing address
6164 Willoughby Cir
Lake Worth, FL 33463-9308
Phone (732) 896-8373
Other names 1
- Rosa M Serrano
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 13282 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1710134838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6164 WILLOUGHBY CIR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334639308",
"telephone_number": "732-896-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6164 WILLOUGHBY CIR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334639308",
"telephone_number": "732-896-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN GONZALEZ",
"first_name": "ROSA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT 13282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSA",
"last_name": "SERRANO",
"middle_name": "M",
"credential": "OT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.