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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260302001355 | KS | Practitioner - Physical Therapist in Private Practice | 9436631215 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-08089 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current |
Accepting new patients |
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- James Grant Gamble
- Patty L. Gerken
- Travis Goff
- Hannah Gold
- Gregory Karl Gomer
- Oren Grant
- Rachel Gress
- Stephanie Gripka
- Christina Carolyn Gull
- Happy Hearts Working Incorporated
All providers in Bonner Springs, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.