Timothy Gorelick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2077679 Issued in TX

Practice address

3115 College Park Dr Ste 109
The Woodlands, TX 77384-4001

Phone

(936) 273-1095

NPI assigned

Dec 1, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1639774441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ABBOTT LAKES LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863039",
            "telephone_number": "281-799-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR STE 109",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844001",
            "telephone_number": "936-273-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORELICK",
        "first_name": "TIMOTHY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2077679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen G Gonzalez, FNP
• Melissa Ivana Gonzalez
• Anna Marie Gooch, PA-C
• Kaylee Goodrich, OTR
• Jennifer L Goodwin, MA, CCC-SLP
• Michelle Gorman, DC
• Joseph Peder Gornick, RPH
• Michelle Jeanine Gossman, MD
• Denise Gouge, PT
• Diksha Mahadeva Gowda, MBBS

• Physical Therapy Assistant in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.