Active NPI
Joav Gomez, PT, DPT
- Physical Therapist
- Loganville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017152
- Practice address
- 2735 Loganville Hwy Ste B
Loganville, GA 30052-8615 - Phone
- (678) 404-7800
- Fax
- (678) 404-7956
- NPI assigned
- Jun 18, 2024
- Sex
- Male
- Sole proprietor
- No
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 | PT017152 | GA | Primary |
Addresses
Primary practice location
2735 Loganville Hwy Ste B
Loganville, GA 30052-8615
Mailing address
2735 Loganville Hwy Ste B
Loganville, GA 30052-8615
Phone (678) 404-7800
Other practice location 1
705 Breedlove Dr Ste 300
Monroe, GA 30655-2080
Phone (678) 635-7221
Other practice location 2
426 Exchange Blvd Ste 100
Bethlehem, GA 30620-1791
Phone (678) 975-7225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of the Incarnate Word School of Osteo Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2735 Loganville Hwy
Suite B
Loganville, GA 30052-8615
Phone (678) 404-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
426 Exchange Blvd
Ste 100
Bethlehem, GA 30620
Phone (678) 975-7225
2735 Loganville Hwy
Ste B
Loganville, GA 30052
Phone (678) 404-7800
705 Breedlove Dr
Ste 300
Monroe, GA 30655
Phone (678) 635-7221
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Loganville, GA
- NPI 1316503162
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1073356804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2735 LOGANVILLE HWY STE B",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528615",
"telephone_number": "678-404-7800",
"fax_number": "678-404-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2735 LOGANVILLE HWY STE B",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528615",
"telephone_number": "678-404-7800",
"fax_number": "678-404-7956"
}
],
"practiceLocations": [
{
"address_1": "705 Breedlove Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "GA",
"postal_code": "306552080",
"country_code": "US",
"telephone_number": "678-635-7221",
"fax_number": "678-635-7298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "426 Exchange Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "GA",
"postal_code": "306201791",
"country_code": "US",
"telephone_number": "678-975-7225",
"fax_number": "678-975-7272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "JOAV",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.