Individual provider Active NPI

Natalie Gonzalez

  • Physical Therapist
  • Pinecrest, FL
National Provider Identifier
1144087131
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41375 Issued in FL
Practice address
12651 S Dixie Hwy Ste 205
Pinecrest, FL 33156-5955
Phone
(305) 232-9222
Fax
(305) 232-8808
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41375 FL Primary

Addresses

Primary practice location

12651 S Dixie Hwy Ste 205
Pinecrest, FL 33156-5955

Mailing address

12651 S Dixie Hwy Ste 205
Pinecrest, FL 33156-5955
Phone (305) 232-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240416003986 FL Practitioner - Physical Therapist in Private Practice 3173962644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physical Therapy Center IncGroup PAC ID 3072695584, 4 clinicians
Elevate Therapy Doral LLCGroup PAC ID 6901325455, 2 clinicians

Practice addresses (Care Compare)

12651 S Dixie Hwy
Suite 205
Pinecrest, FL 33156-5955
Phone (305) 232-9222

4005 NW 114TH Ave
Unit 2
Doral, FL 33178-4372
Phone (786) 828-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41375FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy Center Inc Physical Therapist CurrentSince Feb 13, 2024 Accepting new patients
Elevate Therapy Doral LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

4005 NW 114th Ave
Unit 2
Doral, FL 33178
Phone (305) 591-2988

4005 NW 114th Ave
Doral, FL 33178
Phone (754) 828-6161

12651 S Dixie Hwy
Ste 205
Pinecrest, FL 33156
Phone (305) 232-9222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1144087131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 S DIXIE HWY STE 205",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331565955",
            "telephone_number": "305-232-9222",
            "fax_number": "305-232-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 S DIXIE HWY STE 205",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331565955",
            "telephone_number": "305-232-9222",
            "fax_number": "305-232-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.