Active NPI
Luis Alejandro Gonzalez Gonzalez
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1245110014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTT43736
- Practice address
- 3848 Fau Blvd Ste 105
Boca Raton, FL 33431-6437 - Phone
- (561) 997-5210
- NPI assigned
- Sep 3, 2025
- Last updated
- Nov 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTT43736 | FL | Primary |
| Physical Therapist | 225100000X | PT018118 | GA |
Addresses
Primary practice location
3848 Fau Blvd Ste 105
Boca Raton, FL 33431-6437
Mailing address
40 W Lake Pass
Newnan, GA 30263-4666
Other practice location 1
147 Reinhard Colg Pkwy Ste 9
Canton, GA 30114-5295
Phone (770) 345-3057
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTT43736 | FL | MD | Physical Therapist |
| PT018118 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1245110014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 W LAKE PASS",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302634666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3848 FAU BLVD STE 105",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316437",
"telephone_number": "561-997-5210"
}
],
"practiceLocations": [
{
"address_1": "147 Reinhard Colg Pkwy Ste 9",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301145295",
"country_code": "US",
"telephone_number": "770-345-3057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ GONZALEZ",
"first_name": "LUIS",
"middle_name": "ALEJANDRO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-03",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PTT43736",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT018118",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Vanessa Gonzalez Alpizar
- Ana Maria Gonzalez Borrero
- Ana Lina Gonzalez Caceres, D.D.S
- Claudia Gonzalez Cruz
- Osmani Gonzalez Delgado
- Paulina Gonzalez Rul, MS, LDN, CNS
- Lanny Gonzalez Soca
- Alexandra Marie Gonzalez Velez, MD
- Alexandra Emily Rich Gonzalez, MSN, ARPN, FNP-BC
- Amy Lynn Gonzalez, LAC, DIPL. OM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.