Kirk Gotwals

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT5507 Issued in CA

Practice address

2189 Eastman Ave
Ventura, CA 93003-5792

Phone

(805) 639-2600

NPI assigned

Nov 15, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1407398910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 KNOLL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 EASTMAN AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035792",
            "telephone_number": "805-639-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTWALS",
        "first_name": "KIRK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT5507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela E Gordon, OTR/L
• Gideon Gorit, M.D.
• Molly Gosselin, PPS
• Gosta W Iwasiuk M D Inc
• Got Yo Massage
• Nancy May Gould
• John Goulet, LMFT
• Helena Grace, PA
• Diante Marquis Graffagnino
• Joseph Granados

• Physical Therapy Assistant in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.