Jose Gonzalez Mejia, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

306485 Issued in CA

Practice address

2339 W Hammer LN Ste K
Stockton, CA 95209-2368

Phone

(209) 623-2500

NPI assigned

Aug 14, 2024

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

Enrolled in CA

Enrollment records 1

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 and National Provider Directory roles.

• Golden Bear Physical Therapy Sports Injury Center, Inc

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1811084676

  Physical Therapist

  Medicare reassignment NPD
• Gold Country Therapies, Inc

  • Physical Therapy Clinic/Center
  • Valley Springs, CA
  • NPI 1447658067
  NPD (past)
• Physiomotion Physical Therapy, Inc.

  • Physical Therapist
  • Fresno, CA
  • NPI 1346301751
  NPD (past)

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1437980067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W WHITTIER AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762536",
            "telephone_number": "209-509-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 W HAMMER LN STE K",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092368",
            "telephone_number": "209-623-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MEJIA",
        "first_name": "JOSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mireya Gonzalez Avina
• Naomy Gonzalez Aza
• Jazmin Gonzalez Flores
• Maria De Los Angeles Gonzalez Garcia
• America Gonzalez Martinez
• Anthony Gonzalez Orozco
• Emmanuel Gonzalez Perez
• Michelle Mary Gonzalez Polanco
• Meybis Community Counseling Gonzalez Ramos
• Stephanie Gonzalez-Barragan

• Physical Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.