Individual provider Active NPI

Dustin Gonzalez, PT, DPT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1073119020
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36664 Issued in FL
Practice address
805 SE 3Rd Ave Ste 2
Fort Lauderdale, FL 33316-1193
Phone
(954) 256-9052
Fax
(954) 256-9053
NPI assigned
Dec 7, 2020
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 PT36664 FL Primary

Addresses

Primary practice location

805 SE 3Rd Ave Ste 2
Fort Lauderdale, FL 33316-1193

Mailing address

1500 N University Dr Ste 101
Coral Springs, FL 33071-6071
Phone (954) 458-1199

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111000536 FL Practitioner - Physical Therapist in Private Practice 4789097874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chief Physical Therapy and Sports Medicine LLCGroup PAC ID 9931405180, 16 clinicians

Practice addresses (Care Compare)

805 SE 3Rd Ave
Suite 2
Ft Lauderdale, FL 33316-1193
Phone (330) 603-1089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36664FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chief Physical Therapy and Sports Medicine LLC Physical Therapist CurrentSince Dec 12, 2020 Accepting new patients
Pain Relief Solutions Single Specialty CurrentSince Apr 1, 2026 Accepting new patients

Locations

224 SE 9th St
Fort Lauderdale, FL 33316
Phone (954) 256-9052

805 SE 3rd Ave
Ste 2
Ft Lauderdale, FL 33316
Phone (330) 603-1089

1500 N University Dr
Ste 101
Pompano Beach, FL 33071
Phone 9544581199101

Networks

  • HealthSun Health Plans Network

Organizations & group practices 2

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1073119020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716071",
            "telephone_number": "954-458-1199",
            "fax_number": "877-349-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SE 3RD AVE STE 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161193",
            "telephone_number": "954-256-9052",
            "fax_number": "954-256-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CMS",
            "affiliation": "N",
            "address_1": "805 SE 3rd Ave Ste 2",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333161193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 30, 2026; 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.