Kristy Gonzalez

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

051506-01 Issued in NY

Practice address

131 W Main St
Bay Shore, NY 11706-8315

Phone

(631) 665-4560

Fax

(631) 665-7213

NPI assigned

Dec 29, 2023

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Panetta Physical Therapy PCGroup PAC ID 1052402450, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Panetta Physical Therapy, PC

  • Specialist
  • Ronkonkoma, NY
  • NPI 1144262601

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  Medicare reassignment NPD

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1164291274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068315",
            "telephone_number": "631-665-4560",
            "fax_number": "631-665-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KRISTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "051506-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelis Gomez
• Kristin L Gomez, M.S. SLP-CCC
• Rolando Gomez, MD
• Chris Gonzalez, CBD/CPD
• Gabrielle Gonzalez
• Madelyn Gonzalez, LPN
• Melissa Gonzalez
• Michelle Gonzalez
• Nanette Maria Gonzalez, LMHC
• Paola Gonzalez

• Orthopedic Physical Therapist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.