Active NPI
LG Gonzales Physical Therapy PLLC
- Physical Therapy Clinic/Center
- Yonkers, NY
National Provider Identifier
1457967077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- LG GONZALES PHYSICAL THERAPY PLLC
- Practice address
- 201 Ravine Ave Apt 7a
Yonkers, NY 10701-1815 - Phone
- (205) 834-6027
- Fax
- (914) 965-9019
- NPI assigned
- Sep 18, 2020
- Last updated
- Sep 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luis Guting Gonzales Jr., PT, DPT, OCS
- Title
- Owner
- Phone
- (205) 834-6027
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
201 Ravine Ave Apt 7a
Yonkers, NY 10701-1815
Mailing address
201 Ravine Ave Apt 7a
Yonkers, NY 10701-1815
Phone (205) 834-6027
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Yonkers, NY
- NPI 1164616496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600387200000",
"number": "1457967077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 RAVINE AVE APT 7A",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011815",
"telephone_number": "205-834-6027",
"fax_number": "914-965-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 RAVINE AVE APT 7A",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011815",
"telephone_number": "205-834-6027",
"fax_number": "914-965-9019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LG GONZALES PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A",
"authorized_official_last_name": "GONZALES",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "GUTING",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-834-6027",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PT, DPT, OCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.