Individual provider Active NPI

Maria G Davila Gonzalez, PTA

  • Physical Therapy Assistant
  • Tulsa, OK
National Provider Identifier
1477275980
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3547 Issued in OK
Practice address
4157 S Harvard Ave Ste 101
Tulsa, OK 74135-2606
Phone
(918) 949-9439
Fax
(918) 392-7878
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3547 OK Primary

Addresses

Primary practice location

4157 S Harvard Ave Ste 101
Tulsa, OK 74135-2606

Mailing address

4157 S Harvard Ave Ste 101
Tulsa, OK 74135-2606
Phone (918) 949-9439

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

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1477275980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352606",
            "telephone_number": "918-949-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352606",
            "telephone_number": "918-949-9439",
            "fax_number": "918-392-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA GONZALEZ",
        "first_name": "MARIA",
        "middle_name": "G",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.