Jesus Castaneda-Gomez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-015028 Issued in AZ

Practice address

11340 W Bell Rd Ste a-101
Surprise, AZ 85378-9342

Phone

(623) 226-6644

NPI assigned

Jul 26, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1538042817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16663 W SAGUARO LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881157",
            "telephone_number": "623-285-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W BELL RD STE A-101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789342",
            "telephone_number": "623-226-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA-GOMEZ",
        "first_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-015028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Carroccio, DNP
• Hayley Olivia Caruthers, CNM
• Susan Casaccio, LMT, CMLDT
• Caseldine Dental, Surprise, PLLC
• Casey Cassady
• Francisco Javier Castano, D.M.D.
• Allyson Castillo
• Xochitl Castorela
• Henry Castro, PT
• Herlinda C Castro, FNP-C

• Physical Therapy Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; 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.