Active NPI
Evangeline Garcia Gomez, PT
- Physical Therapist
- Pharr, TX
National Provider Identifier
1427185024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1120756
- Practice address
- 1904 Tesoro Blvd
Pharr, TX 78577 - Phone
- (956) 283-9442
- Fax
- (956) 283-9456
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1120756 | TX | Primary |
Addresses
Primary practice location
1904 Tesoro Blvd
Pharr, TX 78577
Mailing address
2109 Duke Ave
McAllen, TX 78504-5770
Phone (956) 283-9442
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1120756 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427185024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 DUKE AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785045770",
"telephone_number": "956-283-9442",
"fax_number": "956-283-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 TESORO BLVD",
"city": "PHARR",
"state": "TX",
"postal_code": "78577",
"telephone_number": "956-283-9442",
"fax_number": "956-283-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "EVANGELINE",
"middle_name": "GARCIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1120756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.