Individual provider Active NPI

Katerine Maria Gonzalez Gonzalez, PT, DPT

  • Physical Therapist
  • Summerville, SC
National Provider Identifier
1003644535
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12373 Issued in SC
Practice address
1672 N Main St Ste 11
Summerville, SC 29486-7811
Phone
(843) 289-1456
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12373 SC Primary
Physical Therapist 225100000X CP049406T TX

Addresses

Primary practice location

1672 N Main St Ste 11
Summerville, SC 29486-7811

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389

Other practice location 1

5729 Lebanon Rd Ste 120
Frisco, TX 75034-7259
Phone (469) 731-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250929003218 TX Practitioner - Physical Therapist in Private Practice 9638675796 Reassigns benefits to 2 organizations
I20251014000704 SC Practitioner - Physical Therapist in Private Practice 9638675796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1672 N Main St
Suite 11
Summerville, SC 29486-7811
Phone (843) 289-1456

5729 Lebanon Rd
Frisco, TX 75034-7259
Phone (769) 731-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist Current Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

135 Blythewood Rd
#J
Blythewood, SC 29016
Phone (803) 851-1037

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

3515 W FM 120
Ste 103
Denison, TX 75020
Phone (903) 337-1362

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

5729 Lebanon Rd
Ste 120
Frisco, TX 75034
Phone (469) 731-4888

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

3351 Regent Blvd
Ste 140A
Irving, TX 75063
Phone (214) 774-2995

8619 Broadway St
Ste 205
Pearland, TX 77584
Phone (832) 500-7699

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1003644535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-702-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 N MAIN ST STE 11",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867811",
            "telephone_number": "843-289-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5729 Lebanon Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750347259",
            "country_code": "US",
            "telephone_number": "469-731-4888",
            "fax_number": "469-722-7842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ GONZALEZ",
        "first_name": "KATERINE",
        "middle_name": "MARIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12373",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP049406T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.