Gelissa Gomez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT17969 Issued in FL

Practice address

7760 NW 45TH St
Lauderhill, FL 33351-5708

Phone

(786) 237-8535

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Therapeutic Achievements, Inc.

  • Occupational Therapist
  • Lauderhill, FL
  • NPI 1881182392
  NPD Authorized official

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1831524693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 NW 45TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515708",
            "telephone_number": "786-237-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 NW 45TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515708",
            "telephone_number": "786-237-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "GELISSA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA11167",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Sony Germain, OTR/L
• Robert Louis Getz, D.D.S.
• Amous Leon Gibson, RPH
• Tenille Gilzene, PHARMD
• GM Social Adult Day Care
• Jose Gomez, LMHC
• Jose Carlos Gonzalez Hernandez, FNP
• Javier Gonzalez
• Nina Gonzalez, MSW
• Veruska Gonzalez, RD/LDN

• Occupational Therapist in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.