Melanie Recel Gonzaga, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305203349 Issued in VA

Practice address

11800 Sunrise Valley Dr Ste 1
Reston, VA 20191-5302

Phone

(703) 709-1116

NPI assigned

Jun 5, 2006

Sex

Female

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

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Virginia Therapy and Fitness CenterGroup PAC ID 3072680628, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Virginia Therapy & Fitness Center

  • Physical Therapy Clinic/Center
  • Reston, VA
  • NPI 1093887390

  DC

  Medicare reassignment Care Compare group NPD
• Loudoun Physical Therapy, Inc.

  • Physical Therapist
  • Leesburg, VA
  • NPI 1629128152
  NPD (past)
• Virginia Hospital Center Arlington Health System

  • Pharmacy
  • Arlington, VA
  • NPI 1790045052
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1619916905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15442 EAGLE TAVERN LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203717",
            "telephone_number": "703-587-0261",
            "fax_number": "703-443-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DR STE 1",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915302",
            "telephone_number": "703-709-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "MELANIE",
        "middle_name": "RECEL",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305203349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Susan Glossa, M.D.
• Linda Rose Goglia, PHD
• Marcy Goldberg, OD
• Nicole S. Goldberg, CPNP
• Heather Gomez, OTR/L
• Monica Isabel Gonzalez Cejo, PA-C
• Rodolfo Hector Gonzalez, M.D.
• Gonzalo Romero, MD PC
• Good Hope Home Healthcare LLC
• Christopher R Good, MD

• All providers in Reston, VA
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.