Daniela Cayetano Gonzalez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017363 Issued in GA

Practice address

3315 S Cobb Dr SE Ste 250
Smyrna, GA 30080-5104

Phone

(470) 744-0291

NPI assigned

Sep 6, 2024

Sex

Female

Sole proprietor

Yes

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 GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robertson Wellness Ventures LLCGroup PAC ID 2466896147, 3 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.

• Robertson Wellness Ventures, LLC

  • Physical Therapy Clinic/Center
  • Smyrna, GA
  • NPI 1831970409
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1407681562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 AVALON CREEK RD",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305182316",
            "telephone_number": "404-932-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 S COBB DR SE STE 250",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300805104",
            "telephone_number": "470-744-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYETANO GONZALEZ",
        "first_name": "DANIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Dawn Cass, DPM
• Castle Medical, LLC
• Castle Medical, LLC
• Borys Castro, DMD
• Catalyst Diagnostics, LLC
• Certified Seating and Mobility LLC
• Oumaima Chamar, PHARMD
• Donna Chambers
• Pooja Chandra, M.D.
• Change Agents, Inc.

• Physical Therapist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.