Active NPI
Emma Louisa Vera Gonzales, P.T.
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1447582598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3698
- Practice address
- 3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309-3440 - Phone
- (954) 332-4449
- Fax
- (866) 884-8106
- NPI assigned
- Jan 31, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18636 | MA | |
| Physical Therapist | 225100000X | 3281 | ME | |
| Physical Therapist | 225100000X | 040.0047667 | VT | |
| Physical Therapist | 225100000X | 3698 | NM | Primary |
Addresses
Primary practice location
3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309-3440
Mailing address
3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309-3440
Phone (954) 332-4449
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 |
|---|---|---|---|
| 18636 | MA | MD | Physical Therapist |
| 3281 | ME | MD | Physical Therapist |
| 3698 | NM | MD | Physical Therapist |
| 040.0047667 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264896000000",
"number": "1447582598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W COMMERCIAL BLVD",
"address_2": "SUITE 116",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093440",
"telephone_number": "954-332-4449",
"fax_number": "866-884-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W COMMERCIAL BLVD",
"address_2": "SUITE 116",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093440",
"telephone_number": "954-332-4449",
"fax_number": "866-884-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "EMMA LOUISA",
"middle_name": "VERA",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-31",
"last_updated": "2010-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18636",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "3281",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0047667",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.