Daniel G Gonzalez

Individual provider Active NPI Physical Therapist · Bonner Springs, KS

NPI 1104778349 · NPPES record last updated Feb 11, 2026

Key facts

NPI
1104778349
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
11-08089 (KS)
Practice address
13035 Kansas Ave
Bonner Springs, KS 66012-9206
Phone
(913) 721-6362
NPI assigned
Feb 11, 2026
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLC (212 clinicians)

Practice addresses (Care Compare)

13035 Kansas Ave
Serc Bonner Springs
Bonner Springs, KS 66012-9206
Phone (913) 721-6362

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260302001355 KS Practitioner - Physical Therapist in Private Practice 9436631215 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
11-08089KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rehabilitation Partners, LLC Physical Therapist Current
since Feb 19, 2026
Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist Current
since Feb 19, 2026
Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-08089 KS Yes

Addresses

Primary practice location

13035 Kansas Ave
Bonner Springs, KS 66012-9206

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 239-7217

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 11, 2026.

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1104778349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-239-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 KANSAS AVE",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129206",
            "telephone_number": "913-721-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DANIEL",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-08089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonner Springs, KS

All providers in Bonner Springs, KS · Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.