Individual provider Active NPI

Erika Grace Gonzalez, PT, DPT

  • Physical Therapist
  • Brockton, MA
National Provider Identifier
1255991519
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014049 Issued in GA
Practice address
940 Belmont St
Brockton, MA 02301-5596
Phone
(508) 583-4500
NPI assigned
Jun 19, 2019
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014049 GA Primary

Addresses

Primary practice location

940 Belmont St
Brockton, MA 02301-5596

Mailing address

2001 Falls Blvd
Quincy, MA 02169-8207
Phone (770) 317-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714002688 GA Practitioner - Physical Therapist in Private Practice 1850751314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empowerme Rehabilitation Georgia, LLCGroup PAC ID 4284063835, 80 clinicians

Practice addresses (Care Compare)

5610 Hampton Park Dr
Cumming, GA 30041-4004
Phone (470) 866-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014049GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Jun 27, 2023 Accepting new patients

Locations

253 N Main St
Alpharetta, GA 30009
Phone (770) 299-0345

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

890 Scranton Rd
Brunswick, GA 31525
Phone (281) 832-4022

125 Riverstone Ter
Canton, GA 30114
Phone (770) 479-0472

1479 Grove Park Dr
Columbus, GA 31904
Phone (706) 222-7188

4500 S Stadium Dr
Columbus, GA 31909
Phone (706) 561-5560

10050 Eagle Dr
Covington, GA 30014
Phone (678) 248-8138

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

4605 Timber Ridge Dr
Douglasville, GA 30135
Phone (470) 347-9868

212 Fairview Park Dr
Dublin, GA 31021
Phone (478) 275-9888

5373 Thompson Mill Rd
Hoschton, GA 30548
Phone (678) 358-6200

5050 Kimball Bridge Rd
Johns Creek, GA 30005
Phone (678) 395-4202

166 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 232-8520

125 Southern Junction Blvd
Bldg 800
Pooler, GA 31322
Phone (912) 348-2360

550 Barrington Dr
Roswell, GA 30075
Phone (678) 436-8672

7410 Skidaway Rd
Savannah, GA 31406
Phone (912) 354-6185

2700 Patrick Henry Pkwy
Stockbridge, GA 30281
Phone (770) 464-5088

475 Country Club Dr
Stockbridge, GA 30281
Phone (470) 508-1814

4580 Towne Lake Pkwy
Woodstock, GA 30189
Phone (678) 771-6459

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1255991519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 FALLS BLVD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698207",
            "telephone_number": "770-317-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015596",
            "telephone_number": "508-583-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ERIKA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.