Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jailine Gonzalez, OTD

Individual provider Occupational Therapist · NPI 1053055509

MS. Jailine Gonzalez, OTD is an Occupational Therapist in Private Practice in Tampa, Florida. Qualified in 2025, 1 year ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

5001 N Nebraska Ave Ste A
Tampa, FL 33603-2304
Phone: (813) 879-6770
Fax: (813) 436-5637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Occupational Therapist Taxonomy 225X00000X · Licence 26727 (FL)

Record details

NPI number1053055509
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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