Pablo H Gonzales, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2082071 Issued in TX

Practice address

4162 Wildcat Dr
Corpus Christi, TX 78410-5100

Phone

(361) 241-2954

NPI assigned

Aug 21, 2018

Sex

Male

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

• Paul Gonzales Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1114407947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 CRESTWICK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133708",
            "telephone_number": "361-765-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4162 WILDCAT DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105100",
            "telephone_number": "361-241-2954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 3rd St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042208",
            "country_code": "US",
            "telephone_number": "361-888-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5726 Esplanade Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144165",
            "country_code": "US",
            "telephone_number": "361-906-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "PABLO",
        "middle_name": "H",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2082071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "GONZALES",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leslie Gonzales
• Marcus B Gonzales, OD
• Marissa Leanne Gonzales, LPC
• Melissa Ann Gonzales, RN, MSN, ARNP
• Michael Jonas Viray Gonzales, PT
• Rachel Gonzales, LPC ASSOCIATE
• Rebecca Gonzales, MS, LPC
• Ronald E Gonzales, CRNA
• Sara Y Gonzales, M.D.
• Tarah Gonzales

• Physical Therapy Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.