Joshua Gonzaga

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17863-24 Issued in WI

Practice address

3333 S Sunny Slope Rd Ste 103B
New Berlin, WI 53151-4504

Phone

(262) 682-1842

NPI assigned

Jul 7, 2026

Sex

Unspecified or another gender identity

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fastback Physical Therapy LLC

  • Physical Therapist
  • New Berlin, WI
  • NPI 1104393982
  NPD (past)

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1538087754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HINMAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S SUNNY SLOPE RD STE 103B",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514504",
            "telephone_number": "262-682-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17863-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Schaap Giwa, MSOT
• Lindsey Danielle Goding, M.S., CCC-SLP
• Melanie L Goeckerman, NP
• Golden Care, Inc.
• Rosa Maria Gomez, APNP
• Mallory Gonzalez Valentin, M.S., CF-SLP
• Karen E. Gonzalez, RD
• Nicole M Gosser, CCC, SLP
• Autumn Gransberry, LMT
• Laura Diane Gray, M.D.

• Physical Therapist in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.