MR. FLORIE JR. GONZALES (OTR/L, CHT) – Occupational Therapist, NPI 1003823360

MR. FLORIE JR. GONZALES (OTR/L, CHT) is a healthcare provider. based in Everett, Washington. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L, CHT. They hold a License No. KY-R2223 (KY). The NPI Number for MR. FLORIE JR. GONZALES (OTR/L, CHT) is 1003823360

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. FLORIE JR. GONZALES (OTR/L, CHT)
NPI
1003823360
Phone
(425) 339-5491
Address
PO BOX 5127
Enumeration Date
1 August 2006
Last Update Date
27 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604245215
Graduation Year
2010 (16 years ago)
PAC ID
7618252537
Group Practice PAC ID
6204151152
Professional Enrollment ID
I20170315002555
Address ID
WA982732646MO1600XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

460 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for MR. FLORIE JR. GONZALES (OTR/L, CHT)

  • Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982065127

    Phone: (425) 339-5491

    Type: Mailing

  • Gunderson Building, 3927, Rucker Avenue, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982014833

    Phone: (425) 339-5491

    Fax: (425) 339-4219

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170315002555IOccupational Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98206)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204151152View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

How do I look up MR. FLORIE JR. GONZALES (OTR/L, CHT) by NPI?
Use NPI 1003823360 when you need to reference MR. FLORIE JR. GONZALES (OTR/L, CHT) in forms, claims, or directories.
Is MR. FLORIE JR. GONZALES (OTR/L, CHT) active in the national directory?
MR. FLORIE JR. GONZALES (OTR/L, CHT)'s public NPI profile is in an active state.
What does MR. FLORIE JR. GONZALES (OTR/L, CHT) treat or focus on?
Patients typically see MR. FLORIE JR. GONZALES (OTR/L, CHT) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MR. FLORIE JR. GONZALES (OTR/L, CHT)?
We surface Everett, Washington for MR. FLORIE JR. GONZALES (OTR/L, CHT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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