Individual provider Active NPI

Michelle Denise Cleveland Gonzalez, MSPT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1003687021
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6000 N Federal Hwy
Fort Lauderdale, FL 33308-2226
Phone
(954) 771-2551
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6000 N Federal Hwy
Fort Lauderdale, FL 33308-2226

Mailing address

6000 N Federal Hwy
Fort Lauderdale, FL 33308-2226
Phone (954) 771-2551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214004185 FL Practitioner - Physical Therapist in Private Practice 7315381647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Miami, LM Miller School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go-PT IncGroup PAC ID 9032566799, 25 clinicians

Practice addresses (Care Compare)

900 E Indiantown Rd
Suite 100
Jupiter, FL 33477-5142
Phone (888) 627-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Pain Care Consultants LLC CurrentSince Jan 1, 2024 Accepting new patients
Go-PT Inc. Physical Therapist CurrentSince May 30, 2024 Accepting new patients
Anesthesia Pain Care Consultants LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1330 SE 4th Ave
Ste B
Ft Lauderdale, FL 33316
Phone (954) 463-3804

6000 N Federal Hwy
Ft Lauderdale, FL 33308

900 E Indiantown Rd
Ste 100
Jupiter, FL 33477
Phone (888) 627-2325

7171 N University Dr
Ste 300
Tamarac, FL 33321
Phone (954) 720-3188

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IADCDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1003687021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082226",
            "telephone_number": "954-771-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082226",
            "telephone_number": "954-771-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND GONZALEZ",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.