Active NPI
Pilar Amanda Gonzalez, PT
- Physical Therapist
- Sunrise, FL
National Provider Identifier
1326230004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 7392
- Practice address
- 2320 NW 111TH Ave
Sunrise, FL 33322-2543 - Phone
- (954) 801-1696
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 7392 | FL | Primary |
| Developmental Therapist | 222Q00000X | PT 7392 | FL |
Addresses
Primary practice location
2320 NW 111TH Ave
Sunrise, FL 33322-2543
Mailing address
2320 NW 111TH Ave
Sunrise, FL 33322-2543
Phone (954) 801-1696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 881729400 | Medicaid | FL |
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 |
|---|---|---|---|
| PT 7392 | FL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434153600000",
"number": "1326230004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 NW 111TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333222543",
"telephone_number": "954-801-1696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 NW 111TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333222543",
"telephone_number": "954-801-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "PILAR",
"middle_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2015-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 7392",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "PT 7392",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "881729400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.