IndividualActive
Marissa Gonzalez, OTR/L
NPI 1972033033 · Physical Rehabilitation Occupational Therapist · East Boston, MA
Provider details
- NPI number
- 1972033033
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 11795 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Orient Ave
East Boston, MA 02128-1006
Phone: (617) 569-2100
Street-level locationGet directions
Mailing address
19 Cumner Ave
Melrose, MA 02176-5016
Registry dates
- Enumerated
- 2017-06-12
- Last updated
- 2017-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.