Active NPI
Ghislain Gonsette, PHYSICAL THERAPIST
- Physical Therapist
- Crystal River, FL
National Provider Identifier
1508083841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0004792
- Practice address
- 6043 W. Nordling Loop
Crystal River, FL 34429 - Phone
- (352) 563-0030
- Fax
- (352) 563-0102
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- 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 | PT0004792 | FL | Primary |
Addresses
Primary practice location
6043 W. Nordling Loop
Crystal River, FL 34429
Mailing address
632 NE 1St Court
Crystal River, FL 34429
Phone (352) 563-0030
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 |
|---|---|---|---|
| PT0004792 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508083841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 NE 1ST COURT",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "34429",
"telephone_number": "352-563-0030",
"fax_number": "352-563-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6043 W. NORDLING LOOP",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "34429",
"telephone_number": "352-563-0030",
"fax_number": "352-563-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSETTE",
"first_name": "GHISLAIN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT0004792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal River, FL
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.