Anton R Gonzales

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004845 Issued in MI

Practice address

2295 Chene, Detroit, Mi 48207
Detroit, MI 48207

Phone

(313) 923-5816

NPI assigned

Jul 22, 2020

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1245848506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28431 CUNNINGHAM DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923427",
            "telephone_number": "248-464-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 CHENE, DETROIT, MI 48207",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "313-923-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ANTON",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julita Gongolli
• Bernard Gonik, MD
• Nathan Joseph Gonik, M.D.
• Debra Williams Goniwicha, LMSW
• Zoe Gonsalves, M.B.B.S.
• Marissa Gonzales
• Myrla Yasa Gonzales, P.T.
• Veronica Gonzales
• Humberto Cesar Gonzalez Gonzalez, M.D
• Aranice Paola Gonzalez Lassalle, MD

• Physical Therapy Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.