Kathryn Gonzagowski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4704 Issued in NM

Practice address

8616 Menaul Blvd NE Ste a
Albuquerque, NM 87112-2262

Phone

(505) 292-4784

Fax

(505) 369-3068

NPI assigned

Jun 2, 2016

Last updated

Apr 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Armada Physical Therapy of Albuquerque LLCGroup PAC ID 9830328954, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Armada Physical Therapy of Albuquerque LLC

  dba Armada Physical Therapy

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1851713663
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1033567714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 MENAUL BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122262",
            "telephone_number": "505-292-4784",
            "fax_number": "505-292-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 MENAUL BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122262",
            "telephone_number": "505-292-4784",
            "fax_number": "505-369-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGOWSKI",
        "first_name": "KATHRYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew William Gomory, DO
• Oksana Goncharenko, APRN-CNP
• Jessica Michelle Gong
• Gonstead Family Chiropractic of Abq - Westside, Inc
• Gonstead Family Chiropractic of Albuquerque, P.C.
• Vanessa Renee Gonzales-Jarratt, LMHC
• Martha Gonzales-Romero, CHW
• Gabriel Gonzales-Wicketts
• Alea Marie Gonzales, PHARMD
• Amanda Gonzales, LMSW

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.