Mike Gomez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2078822 Issued in TX

Practice address

8820 Southwestern Blvd Apt 1119
Dallas, TX 75206-2819

Phone

(972) 768-3126

NPI assigned

Jul 16, 2025

Last updated

Jul 16, 2025By the provider in NPPES

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": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1215829023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 SOUTHWESTERN BLVD APT 1119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752062819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 SOUTHWESTERN BLVD APT 1119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752062819",
            "telephone_number": "972-768-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MIKE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2078822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Ernesto Gomez, MD
• Laura Lizbeth Gomez, RD, LD
• Lissy Mariel Gomez
• Logan Grace Gomez, DPT
• Loida E Gomez
• Minverva Gomez
• Richard Gomez, LOA
• Richard Raul Gomez, MD
• Vanessa Monique Gomez, BSW,QMHP-CS
• Victor M Gomez, M.D.

• Physical Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.