Organization Active NPI

Gulf Coast Occupational Therapy LLC

  • Occupational Therapist
  • Galveston, TX
National Provider Identifier
1720328388
Registry record updated Jun 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GULF COAST OCCUPATIONAL THERAPY LLC
Practice address
928 Broadway St
Galveston, TX 77550
Phone
(409) 242-6500
Fax
(409) 497-4389
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2018

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

Authorized official

Name
Ms. Julie Mary Bonomo, MS/SLP/CCC
Title
Owner
Phone
(409) 242-6500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

928 Broadway St
Galveston, TX 77550

Mailing address

PO Box 57
Galveston, TX 77553-0057
Phone (409) 242-6500

Other practice location 1

1428 Mechanic St
Galveston, TX 77550-2529
Phone (409) 242-6500

Other names 1

  • Gulf Coast Occupational Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529712000000",
    "number": "1720328388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775530057",
            "telephone_number": "409-242-6500",
            "fax_number": "409-497-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77550",
            "telephone_number": "409-242-6500",
            "fax_number": "409-497-4389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1428 Mechanic St",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775502529",
            "country_code": "US",
            "telephone_number": "409-242-6500",
            "fax_number": "409-497-4389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULF COAST OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2018-06-23",
        "status": "A",
        "authorized_official_last_name": "BONOMO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-242-6500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS/SLP/CCC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Coast Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; 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.