Ernesto Gonzalez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

28897 Issued in FL

Practice address

8612 Griffin Rd
Cooper City, FL 33328-3719

Phone

(954) 252-8900

NPI assigned

Nov 2, 2018

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

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": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1215405709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 ABBOTT AVE APT 6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331415227",
            "telephone_number": "305-326-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8612 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283719",
            "telephone_number": "954-252-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ERNESTO",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "28897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Glantz Volk
• Nicole Beth Glanzt, RD, LD/N
• Melvyn S Gober, DDS
• Jennifer Lynn Goldin, PH.D.
• Orquidea Natividad Gomez, NP
• Leon Gonzalez
• Nancy Carol Gonzalez, ARNP
• Aaron Goodstein, RN
• Jason Thad Granger, D.C.
• Heather Nicole Green, MS-SLP

• Physical Therapy Assistant in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.