Active NPI
Joel Samuel Gonzalez, D.P.T.
- Physical Therapist
- Destrehan, LA
National Provider Identifier
1609252428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 09168
- Practice address
- 1972 Ormond Blvd Ste D
Destrehan, LA 70047-3812 - Phone
- (985) 307-0925
- Fax
- (985) 307-0826
- NPI assigned
- Aug 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 09168 | LA | Primary |
Addresses
Primary practice location
1972 Ormond Blvd Ste D
Destrehan, LA 70047-3812
Mailing address
1972 Ormond Blvd Ste D
Destrehan, LA 70047-3812
Phone (985) 307-0925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12371 Hwy 90
Suite D
Luling, LA 70070-5127
Phone (985) 331-1001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Region Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1972 Ormond Blvd
Ste D
Destrehan, LA 70047
Phone (985) 307-0925
12371 Highway 90
Ste D
Luling, LA 70070
Phone (985) 331-1001
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1609252428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1972 ORMOND BLVD STE D",
"city": "DESTREHAN",
"state": "LA",
"postal_code": "700473812",
"telephone_number": "985-307-0925",
"fax_number": "985-307-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1972 ORMOND BLVD STE D",
"city": "DESTREHAN",
"state": "LA",
"postal_code": "700473812",
"telephone_number": "985-307-0925",
"fax_number": "985-307-0826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JOEL",
"middle_name": "SAMUEL",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "09168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Destrehan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.