Ethan Carlos Gonzales, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02289100 Issued in NJ

Practice address

999 Route 73 N FL 4
Marlton, NJ 08053-1227

Phone

(856) 821-6372

Fax

(856) 821-6339

NPI assigned

Sep 16, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rothman Orthopaedics of New Jersey, LLCGroup PAC ID 6709864846, 175 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rothman Orthopaedics of New Jersey, LLC

  dba Rothman Orthopaedics Institute

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1215978630
  Medicare reassignment Care Compare group NPD
• Rehabclinics SPT Inc.

  • Physical Therapy Clinic/Center
  • Little Egg Harbor, NJ
  • NPI 1699113688
  Medicare reassignment NPD
• Rehabclinics SPT Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Moorestown, NJ
  • NPI 1346246824
  NPD
• Rothman Institute of New Jersey, P.a.

  • Prosthetic/Orthotic Supplier
  • Manahawkin, NJ
  • NPI 1831611243
  NPD
• Rehabclinics SPT, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Chalfont, PA
  • NPI 1952009482
  NPD
• Rehabclinics SPT Inc

  dba Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Manahawkin, NJ
  • NPI 1043271216
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1386471381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 GOOD INTENT RD",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964458",
            "telephone_number": "856-834-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ROUTE 73 N FL 4",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531227",
            "telephone_number": "856-821-6372",
            "fax_number": "856-821-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ETHAN",
        "middle_name": "CARLOS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02289100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gomez, LCSW
• Yanelky Gomez
• Aleksandra Goncharova, PH.D.
• Barbara Gondek
• Qinhua Gong, L.AC.
• Kiana Gonzalez-Stork, MHC
• Goodness Healthcare Services
• Alanah Gorczynski, M.A, M.S
• Alexa Ray Gorda, DPM
• Jana L Gordon, LCSW

• Physical Therapist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.