Jeziel Miguel Gonzalez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19606 Issued in MA

Practice address

3500 Main St Ste 101
Springfield, MA 01107-1150

Phone

(413) 314-3053

Fax

(413) 341-8172

NPI assigned

Jun 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• JMG Rehab Services LLC

  • Rehabilitation Clinic/Center
  • Springfield, MA
  • NPI 1750840708

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Pioneer Spine and Sports Physicians PC

  • Physical Medicine & Rehabilitation Physician
  • West Springfield, MA
  • NPI 1346282621
  NPD (past)
• Pioneer Spine and Sports Physicians, PC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1346427713
  NPD (past)
• Connecticut Spine and Sports Physicians, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Wallingford, CT
  • NPI 1154363653
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1588925440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MAIN ST",
            "address_2": "STE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071150",
            "telephone_number": "413-314-3053",
            "fax_number": "413-341-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MAIN ST STE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071150",
            "telephone_number": "413-314-3053",
            "fax_number": "413-341-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JEZIEL",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JMGRehab@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3500 Main St Ste 101",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011071150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ernesto G Gonzalez, M.D.
• Esbalni Gonzalez
• Hailey Gonzalez
• Hester Tamyara Gonzalez
• Ishamalie Terrie Gonzalez
• Keyla M Gonzalez, BCBA
• Sonia N. Gonzalez
• Danielle Christina Goode, B.S.
• Kathleen Anne Goodfield, MSW
• Dawn Goodfriend, DO

• Physical Therapist in Springfield, MA
• Providers in Springfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.