Isabel Gonzalez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT45029 Issued in FL

Practice address

905 N Main St Ste 103
Boerne, TX 78006-1699

Phone

(830) 816-5333

Fax

(830) 816-5332

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Foundation Physical Therapy PLLCGroup PAC ID 0648428987, 10 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 and National Provider Directory roles.

• Foundation Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1104103852

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1174387906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4583 JUNIPER DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852698",
            "telephone_number": "210-862-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST STE 103",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061699",
            "telephone_number": "830-816-5333",
            "fax_number": "830-816-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT45029",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1389146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Marie Gonyer, M.A., LPC, LBA, BCBA
• Roger Gonzales, LPC-ASSOCIATE
• Angela Marie Gonzalez
• Ashley Gonzalez, LVN
• Chanthal Gonzalez, LVN
• Barry F Gooden, DDS PA
• Emiley B Goulet, LPC
• Nichole Graeber, C-NP
• Deborah Graham
• Daniela Granados, BCBA, LBA

• Physical Therapist in Boerne, TX
• Providers in Boerne, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.