Individual provider Active NPI

Joel Samuel Gonzalez, D.P.T.

  • Physical Therapist
  • Destrehan, LA
National Provider Identifier
1609252428
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09168 Issued in LA
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

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20191018000669 LA Practitioner - Physical Therapist in Private Practice 1456682657 Reassigns benefits to 1 organization

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
River Region Rehab LLCGroup PAC ID 4587623764, 10 clinicians

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

OrganizationSpecialtyStatusNew patients
River Region Rehab, LLC Physical Therapist CurrentSince Sep 9, 2019 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.

Verify at the official NPI Registry.