Individual provider Active NPI

Ariel Gonzalez III, MASSAGE THERAPY

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1225328404
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MA60320 Issued in FL
Practice address
8181 NW 36TH Street Ext
Suite 9a
Doral, FL 33166-6671
Phone
(305) 599-3294
Fax
(305) 599-3295
NPI assigned
Apr 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MA60320 FL Primary

Addresses

Primary practice location

8181 NW 36TH Street Ext
Suite 9a
Doral, FL 33166-6671

Mailing address

8181 NW 36TH Street Ext
Suite 9a
Doral, FL 33166-6671
Phone (305) 599-3294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60320FLMDPhysical Therapy Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1225328404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH STREET EXT",
            "address_2": "SUITE 9A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-599-3294",
            "fax_number": "305-599-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH STREET EXT",
            "address_2": "SUITE 9A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-599-3294",
            "fax_number": "305-599-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ARIEL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MASSAGE THERAPY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA60320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.