Individual provider Active NPI

Carlos Gonzalez, DPT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1043705536
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
16515 Meridian E Ste 202B
Puyallup, WA 98375
Phone
(253) 840-5511
Fax
(253) 840-0835
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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 WA Primary

Addresses

Primary practice location

16515 Meridian E Ste 202B
Puyallup, WA 98375

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (253) 840-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016002468 WA Practitioner - Physical Therapist in Private Practice 6103178348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

130 Marvin Rd SE
Suite 203
Lacey, WA 98503-6101
Phone (360) 456-3300

32030 23Rd Ave S
Federal Way, WA 98003-6031
Phone (253) 946-4852

4220 Hoyt Ave
Everett, WA 98203-2317
Phone (425) 258-5330

4703 Pacific Hwy E
Suite B
Fife, WA 98424-2620
Phone (253) 926-8202

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Aug 27, 2018 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Aug 27, 2018 Accepting new patients
Dimond Physical Therapy and Performance Lab, LLC Physical Therapist PastSince Jun 15, 2015 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

15600 NE 8th St
Ste E6
Bellevue, WA 98008
Phone (425) 214-7679

20821 Sr 410 E
Bonney Lake, WA 98391
Phone (253) 863-7510

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

4935 Point Fosdick Dr
#F200
Gig Harbor, WA 98335

21806 103rd Avenue Ct E
Ste 103
Graham, WA 98338
Phone (253) 847-3700

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

5605 100th St SW
Ste B
Lakewood, WA 98499
Phone (253) 284-9800

3015 Limited Ln NW
Ste B
Olympia, WA 98502
Phone (360) 709-0700

11019 Canyon Rd E
Ste C
Puyallup, WA 98373
Phone (253) 286-3600

15614 Meridian E
Ste 400
Puyallup, WA 98375
Phone (253) 840-5511

16515 Meridian E
Ste 202B
Puyallup, WA 98375
Phone (253) 466-3178

3912 10th St SE
#101
Puyallup, WA 98374
Phone (253) 848-4700

17710 Canyon Rd E
Ste 300
Puyallup, WA 98375
Phone (253) 271-3076

15703 Pacific Ave S
#B
Tacoma, WA 98444
Phone (253) 531-4100

11112 Pacific Ave S
Tacoma, WA 98444
Phone (253) 537-1103

4703 Pacific Hwy E
#B
Tacoma, WA 98424
Phone (253) 926-8202

3315 S 23rd St
Ste 210
Tacoma, WA 98405
Phone (253) 572-8684

5729 Littlerock Rd SW
Ste 109
Tumwater, WA 98512
Phone (360) 704-3300

3816 Bridgeport Way W
University Place, WA 98466
Phone (253) 203-3996

512 NE 81st St
Ste H
Vancouver, WA 98665
Phone (360) 553-3782

201 Tahoma Blvd
Unit 207
Yelm, WA 98597
Phone (360) 458-6400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1043705536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "253-840-5511",
            "fax_number": "253-840-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E STE 202B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98375",
            "telephone_number": "253-840-5511",
            "fax_number": "253-840-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CARLOS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.