Individual provider Active NPI

Sandra K. Gomez, PT, DPT

  • Physical Therapist
  • Laredo, TX
National Provider Identifier
1265058663
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1335500 Issued in TX
Practice address
2446 San Isidro Pkwy
Laredo, TX 78045-6393
Phone
(956) 307-6305
Fax
(956) 269-9617
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 1335500 TX Primary

Addresses

Primary practice location

2446 San Isidro Pkwy
Laredo, TX 78045-6393

Mailing address

1608 Ocaso Dr
Laredo, TX 78045-4265
Phone (956) 307-6305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200724000433 TX Practitioner - Physical Therapist in Private Practice 6305260266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerhouse PT PLLCGroup PAC ID 1850741034, 3 clinicians

Practice addresses (Care Compare)

2446 San Isidro Pkwy
Laredo, TX 78045-6393
Phone (356) 307-6305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1335500TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerhouse PT PLLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Laredo Sports Medicine Clinic, PA Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients

Locations

9020 San Dario Ave
Laredo, TX 78045

7109 N Bartlett Ave
Ste 109
Laredo, TX 78041
Phone (956) 727-2122

2446 San Isidro Pkwy
Laredo, TX 78045
Phone (356) 307-6305

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1265058663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 OCASO DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780454265",
            "telephone_number": "956-307-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 SAN ISIDRO PKWY",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456393",
            "telephone_number": "956-307-6305",
            "fax_number": "956-269-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SANDRA",
        "middle_name": "K.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1335500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.