Samantha U Gonzales, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0013566 Issued in CO

Practice address

17230 Jackson Creek Pkwy Ste 170
Monument, CO 80132-7303

Phone

(719) 571-7080

Fax

(719) 571-7089

NPI assigned

Aug 20, 2015

Last updated

Mar 12, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centura Ventures, LLCGroup PAC ID 8628989043, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centura Ventures, LLC

  dba CS Briargate at Sister

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1073882197

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Centura Ventures, LLC

  dba CS PT Summit

  • Physical Therapy Clinic/Center
  • Frisco, CO
  • NPI 1124854526
  NPD

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1407222763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 JACKSON CREEK PKWY STE 170",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327303",
            "telephone_number": "719-571-7080",
            "fax_number": "719-571-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 W Pueblo Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "81004",
            "country_code": "US",
            "telephone_number": "719-542-0589",
            "fax_number": "719-542-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "SAMANTHA",
        "middle_name": "U",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0013566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Gilmore
• Theresa M Gisi,, PH. D.
• Jamie Dahlgren Glover, M.D.
• Stephanie M Goddard
• Tiffany Lynn Goles, MSW, LMSW
• Lia Angelica Grandinetti, DDS
• Christine Gray
• Dana L. Gregory, D.P.T.
• Victoria Gross
• Rebeccah R. Gurule, AC-AGNP

• Physical Therapist in Monument, CO
• Providers in Monument, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.