Active NPI
Dustin Gonzalez, PT, DPT
- Physical Therapist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36664
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT36664 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chief Physical Therapy and Sports Medicine LLC | Physical Therapist | Current | Accepting new patients |
| Pain Relief Solutions | Single Specialty | Current | 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.
-
dba South Florida Physical Therapy and Sports Rehab
- Physical Therapy Clinic/Center
- Fort Lauderdale, FL
- NPI 1730562109
Physical Therapist
-
- Interventional Pain Medicine Physician
- Fort Lauderdale, FL
- NPI 1972139319
Single Specialty
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.