Active NPI
Eric Gonzalez, OTR/L
- Occupational Therapist
- Glen Rock, NJ
National Provider Identifier
1780477760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01238800
- Practice address
- 266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354 - Phone
- (201) 597-0817
- NPI assigned
- May 23, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01238800 | NJ | Primary |
Addresses
Primary practice location
266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354
Mailing address
266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed PT LLC | Occupational Therapist | Current | Accepting new patients |
Locations
218 Bloomfield Ave
Bloomfield, NJ 07003
Phone (973) 750-0880
218 Bloomfield Ave
Bloomfield, NJ 07003
266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1780477760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 HARRISTOWN RD STE 200",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074523354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 HARRISTOWN RD STE 200",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074523354",
"telephone_number": "201-597-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ERIC",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-23",
"last_updated": "2025-05-23",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01238800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Rock, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.