Jolie Gonzalez, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41917 Issued in CA

Practice address

2035 Lyndell Ter
Suite 200
Davis, CA 95616-6222

Phone

(530) 758-2222

NPI assigned

Dec 17, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jolie Brehm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Burger Physical Therapy and Rehabilitation Agency Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Folsom, CA
  • NPI 1457333908
  NPD (past)
• Burger Physical Therapy Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Folsom, CA
  • NPI 1356352082
  NPD (past)

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1104224591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ESTUARY CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313748",
            "telephone_number": "808-250-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LYNDELL TER",
            "address_2": "SUITE 200",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166222",
            "telephone_number": "530-758-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOLIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41917",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLIE",
            "last_name": "BREHM",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Elizabeth Gonzales, CNM
• Robert John Gonzales
• Pilar Antonia Gonzalez-Doupe, PH.D., M.SC.
• Dorisa Gonzalez
• Gloria Aimee Gonzalez, CNM
• Samrah Marisol Gonzalez
• Wendy Gonzalez
• Good Neighbor Transport, Inc.
• Michael P Goodman, M.D.
• Lesly Gissel Gopar Chavez

• Physical Therapist in Davis, CA
• Providers in Davis, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.