Active NPI
Roy Francisco Gonzales, RPT
- Physical Therapist
- Florence, SC
National Provider Identifier
1114045630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2573
- Practice address
- 1300 Valparaiso Dr Apt N10
Florence, SC 29501-6108 - Phone
- (843) 667-8721
- NPI assigned
- Mar 26, 2007
- 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 | 2573 | SC | Primary |
Addresses
Primary practice location
1300 Valparaiso Dr Apt N10
Florence, SC 29501-6108
Mailing address
1300 Valparaiso Drive N-10
Florence, SC 29501
Phone (843) 667-8721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114045630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 VALPARAISO DRIVE N-10",
"city": "FLORENCE",
"state": "SC",
"postal_code": "29501",
"telephone_number": "843-667-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 VALPARAISO DR APT N10",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016108",
"telephone_number": "843-667-8721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "ROY",
"middle_name": "FRANCISCO",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "2573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.