Active NPI
Ruth Gonzalez, M.O.T. OTR
- Pediatric Occupational Therapist
- Austin, TX
National Provider Identifier
1720520711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 118377
- Practice address
- 12710 Research Blvd
#395
Austin, TX 78759-4379 - Phone
- (512) 250-8706
- NPI assigned
- Nov 8, 2016
- 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 | 118377 | TX | Primary |
Addresses
Primary practice location
12710 Research Blvd
#395
Austin, TX 78759-4379
Mailing address
12710 Research Blvd
#395
Austin, TX 78759-4379
Phone (512) 250-8706
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1720520711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12710 RESEARCH BLVD",
"address_2": "#395",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594379",
"telephone_number": "512-250-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12710 RESEARCH BLVD",
"address_2": "#395",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594379",
"telephone_number": "512-250-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "RUTH",
"credential": "M.O.T. OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "118377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.