Roxanne Gonzales, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT 9931 Issued in CA

Practice address

12431 Magnolia St
Garden Grove, CA 92841-3321

Phone

(888) 475-5771

Fax

(888) 475-5771

NPI assigned

Oct 29, 2012

Sex

Female

Sole proprietor

Yes

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

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.

• Action Therapy Incorporated

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1770847287
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1609120708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12431 MAGNOLIA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413321",
            "telephone_number": "888-475-5771",
            "fax_number": "888-475-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12431 MAGNOLIA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413321",
            "telephone_number": "888-475-5771",
            "fax_number": "888-475-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ROXANNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 9931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Gomez
• Yaritza Gomez
• Elvira Gonsalez
• Angelique Rozette Gonzales
• Melissa Gonzales
• Sabrina Gonzales
• Lizette Gonzalez Calzada, LVN
• Gabriela Gonzalez Funes
• Alexa Renee Gonzalez
• Amy Gonzalez

• Physical Therapy Assistant in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.