Active NPI
Angie Gonzalez
- Massage Therapist
- Enterprise, AL
National Provider Identifier
1275465833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6399
- Practice address
- 621 Boll Weevil Cir Ste 17
Enterprise, AL 36330-2749 - Phone
- (334) 393-7546
- NPI assigned
- May 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 6399 | AL | Primary |
Addresses
Primary practice location
621 Boll Weevil Cir Ste 17
Enterprise, AL 36330-2749
Mailing address
7689 County Road 636
Chancellor, AL 36316-7071
Phone (334) 449-1711
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 |
|---|---|---|---|
| 6399 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1275465833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7689 COUNTY ROAD 636",
"city": "CHANCELLOR",
"state": "AL",
"postal_code": "363167071",
"telephone_number": "334-449-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 BOLL WEEVIL CIR STE 17",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302749",
"telephone_number": "334-393-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ANGIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AL",
"license": "6399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.