Marissa Emily Gonzalez, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

11795 Issued in MA

Practice address

111 Orient Ave
East Boston, MA 02128-1006

Phone

(617) 569-2100

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1972033033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CUMNER AVE",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021765016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ORIENT AVE",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281006",
            "telephone_number": "617-569-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARISSA",
        "middle_name": "EMILY",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MA",
            "license": "11795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Gomez
• Hilda R Gomez
• Kellynette Marie Gomez, LCSW, MSW
• Stephanie Ann Goncalves
• Elisa Gonzalez Cuevas, MD
• Elizabeth M. Goodchild, LICSW
• Valerie Goodman, CNP
• Juan Carlos Gorlier, LICSW
• Mary A Gorman, RNP
• Kimberlyn C Grams, NP

• Physical Rehabilitation Occupational Therapist in East Boston, MA
• Providers in East Boston, MA by specialty
• Physical Rehabilitation Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.