Active NPI
Elijah Gonzalez, PT
- Physical Therapist
- Harlingen, TX
National Provider Identifier
1396430823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1279723
- Practice address
- 1239 N Stuart Place Rd
Harlingen, TX 78552-4290 - Phone
- (956) 245-9790
- NPI assigned
- Apr 10, 2023
- Last updated
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1279723 | TX | Primary |
Addresses
Primary practice location
1239 N Stuart Place Rd
Harlingen, TX 78552-4290
Mailing address
1239 N Stuart Place Rd
Harlingen, TX 78552-4290
Phone (956) 245-9790
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1279723 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sion Kidz, LLC | Physical Therapist | Past | Accepting new patients |
| Huffman Rehab PLLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Serrano School
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Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1396430823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 N STUART PLACE RD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785524290",
"telephone_number": "956-245-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 N STUART PLACE RD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785524290",
"telephone_number": "956-245-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ELIJAH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1279723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.