Luis Guting Gonzales Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028512 Issued in NY

Practice address

201 Ravine Ave Apt 7a
Yonkers, NY 10701-1815

Phone

(205) 834-6027

NPI assigned

Aug 29, 2007

Sex

Male

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

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 and National Provider Directory roles.

• Affinity Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • Dewitt, NY
  • NPI 1346530169

  Single Specialty

  Medicare reassignment NPD
• LG Gonzales Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Yonkers, NY
  • NPI 1780290684
  NPD (past) Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1164616496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RAVINE AVE APT 7A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011815",
            "telephone_number": "205-834-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RAVINE AVE APT 7A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011815",
            "telephone_number": "205-834-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "LUIS",
        "middle_name": "GUTING",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Henry Goldsmith, D.D.S.
• Sara Goldsmith, LCSW
• Rhea Ann Gomes
• Luis Raul Gomez Ortiz, MD
• Joseph Santiago Gonzales, RN
• Alexandra Gonzalez
• Isabel Y Gonzalez, MS. ED
• Juana Gonzalez, OTA
• Katty Fernanda Gonzalez, LPN
• Luis A. Gonzalez, CASAC-T

• Physical Therapist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.