Jennifer Lazaro Gonzales, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0002770 Issued in DE

Practice address

701 E Naylor Mill Rd Unit F
Salisbury, MD 21804-2308

Phone

(302) 331-0134

NPI assigned

Dec 21, 2011

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

Other names 1

• Miss Jennifer Tongol Lazaro Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Peninsula Physical Therapy, LLC

  • Physical Therapist
  • Salisbury, MD
  • NPI 1639662745
  Medicare reassignment NPD
• Peninsula Physical Therapy, LLC

  • Physical Therapist
  • Salisbury, MD
  • NPI 1598226821
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1083983068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E NAYLOR MILL RD UNIT F",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042308",
            "telephone_number": "302-331-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E NAYLOR MILL RD UNIT F",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042308",
            "telephone_number": "302-331-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JENNIFER",
        "middle_name": "LAZARO",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LAZARO",
            "middle_name": "TONGOL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Godwin
• Michael James Goebel
• Christopher Goldsborough, PHARMD
• Rachel Lynn Goldsborough
• Lucaya Goldsmith
• Remy Gooch
• Kristen Lynn Gordy, CRNP-PMH
• Robert Lorenzo Gordy III
• Robert Joseph Gore Jr., DDS
• Maura Gorman

• Physical Therapist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.