Annalee Dewey Gonzalez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9854 Issued in OR

Practice address

3215 NE 4TH Ave
Hillsboro, OR 97124-1859

Phone

(503) 927-7778

NPI assigned

May 19, 2020

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1275156721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 NE 4TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971241859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 NE 4TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971241859",
            "telephone_number": "503-927-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANNALEE",
        "middle_name": "DEWEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2152677",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "6492",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "9854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Goldstandt, LPC
• Sabrina Gomez Guerrero, PSY. D., LPC
• Cesaly Gomez-Rodriguez
• Elaine E Gomez
• Ruth Gomez
• Antonio Gonzalez
• Ingrid Patricia Gonzalez, PSS
• Sabrina Gonzalez
• Stephanie Gonzalez
• Amber Gordon, DNP

• Physical Therapy Assistant in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.