Liliana Gomez Garza, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

299083 Issued in CA

Practice address

10431 Commerce St
Redlands, CA 92374-0110

Phone

(909) 783-1111

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lili Johnson 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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1144938168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 VICTORIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063368",
            "telephone_number": "760-275-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 COMMERCE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740110",
            "telephone_number": "909-783-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ GARZA",
        "first_name": "LILIANA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "299083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "299083",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILI",
            "last_name": "JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Naganjaneyulu Gogam, RN
• Michael T. Goldberg, MD
• Jason Goldstein
• Yvette Vargas Goltiao, MFT INTERN
• Gomez & Associates, Inc.
• Alexa Patricia Gomez
• Lucas Stephano Gomez
• Mabel Gomez
• Maria Yadira Gomez
• Sabrina Elena Gomez

• Pediatric Physical Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.