Randy Govea, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA27835 Issued in FL

Practice address

8509 S Federal Hwy # Us1
Port Saint Lucie, FL 34952-3346

Phone

(772) 380-4549

Fax

(772) 210-8920

NPI assigned

Jan 11, 2023

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1558075853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 S FEDERAL HWY # US1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "772-380-4549",
            "fax_number": "772-210-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8509 S FEDERAL HWY # US1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "772-380-4549",
            "fax_number": "772-210-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVEA",
        "first_name": "RANDY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Rosa Gonzalez
• Yaned Gonzalez, BCBA
• Taytum Goodman
• Neisha Gordon, PHARMACIST
• Rosemarie A Gordon, RBT
• Alexander Goycochea
• Michelle Celena Gozar, ARNP
• Zorunna Grabovaia, LCPC
• Grace and Amazing Comfort Care LLC
• Grace H Yoo M D and Gerald a Ross DO PA

• Physical Therapy Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.