Jorge Luis Gomez

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT16763 Issued in FL

Practice address

1380 N Krome Ave
Suite #110
Florida City, FL 33034-2406

Phone

(305) 247-4464

Fax

(305) 247-4546

NPI assigned

Mar 11, 2015

Sex

Male

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

Enrolled in DC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy and Pain Management Center LLCGroup PAC ID 8729172275, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Physical Therapy and Pain Management Center LLC

  • Rehabilitation Clinic/Center
  • Silver Spring, MD
  • NPI 1538282827

  DC

  Medicare reassignment Care Compare group NPD
• Learn With Therapy, Inc.

  • Speech-Language Pathologist
  • Florida City, FL
  • NPI 1619263225
  NPD (past)
• Multi-Lingual Speech Group, Inc.

  • Speech-Language Pathologist
  • Florida City, FL
  • NPI 1083785448
  NPD (past)
• Physical Therapy and Pain Management Center LLC

  • Hand Physical Therapist
  • Silver Spring, MD
  • NPI 1447599097
  NPD (past)
• Physical Therapy and Pain Management Center LLC

  • Rehabilitation Clinic/Center
  • Riverdale Park, MD
  • NPI 1982337424
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1982097200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SW 152ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273360",
            "telephone_number": "305-450-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 N KROME AVE",
            "address_2": "SUITE #110",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330342406",
            "telephone_number": "305-247-4464",
            "fax_number": "305-247-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida M Garcia, RN
• Lisbet Eneida Garriga Ortega, RBT
• Dora A Gaxiola, MD
• Geo Care, Inc.
• Yamilet Giron, BCBA
• Yudmila Gonzalez Mederos
• Eduardo Gonzalez-Rubio, D.M.D
• Juan Carlos Gonzalez Sr., CBHCM-S
• Good News Care Center
• Kirk Gopie, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.