Alyssa Wittmann Gonzalez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

22371 Issued in CA

Practice address

556 N 1St St Ste 201
San Jose, CA 95112-5300

Phone

(408) 384-4993

Fax

(408) 856-1246

NPI assigned

Jul 30, 2015

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Joy Opens Doors Speech and Occupational Therapy Inc.

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1871092957
  NPD

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1972989010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 SW 36TH ST",
            "address_2": "SUITE 9",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281915",
            "telephone_number": "954-577-7790",
            "fax_number": "954-577-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 N 1ST ST STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125300",
            "telephone_number": "408-384-4993",
            "fax_number": "408-856-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALYSSA",
        "middle_name": "WITTMANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.joyopensdoors.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "556 N 1st St Ste 201",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951125300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abel Alexander Beltran Gonzalez
• Abraham Gonzalez
• Adriana Gonzalez
• Alex Gonzalez
• Alondra Guadalupe Gonzalez
• America Gonzalez
• Andres Gonzalez, LMFT
• Angela A Gonzalez
• Ann Gonzalez
• Antonio Gonzalez

• Occupational Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.