Kazaundra Gonzalez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

218077 Issued in TX

Practice address

400 E Main St
Alice, TX 78332-4969

Phone

(361) 396-4029

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Lighthouse Childrens Rehab

  dba Little Lighthouse Children's Rehab, LLC

  • Rehabilitation Clinic/Center
  • Alice, TX
  • NPI 1811260193
  NPD (past)
• Little Lighthouse Childrens Rehab

  • Rehabilitation Clinic/Center
  • Los Fresnos, TX
  • NPI 1942398151
  NPD (past)

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1720868805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 6TH ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324969",
            "telephone_number": "361-396-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KAZAUNDRA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "218077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Goetzel, MS, CCC/SLP
• Gold Horses, LLC (Del Cielo Home Care Services)
• Gold Horses, LLC (Del Cielo Adult Day Care)
• Golden Horizons Hospice Corporation
• Emmanuel Gonzalez, LPTA
• Kimberly Dennise Gonzalez, NP-C
• Olivia Trevino Gonzalez, M.S. CF-SLP
• Pauline B Gonzalez, LCDC
• Melanie Gracia
• David Cabell Gray, MD

• Occupational Therapy Assistant in Alice, TX
• Providers in Alice, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.