Juan Gonzalez
Individual provider Active NPI Physical Therapy Assistant · Tuckerman, AR
NPI 1649162249 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1649162249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5040 (AR)
- Practice address
- 1502 Highway 367 S
Tuckerman, AR 72473-9148 - Phone
- (870) 808-4040
- NPI assigned
- Jul 17, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5040 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gross Therapy Services, Inc. | Physical Therapy Assistant | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5040 | AR | Yes |
Addresses
Primary practice location
1502 Highway 367 S
Tuckerman, AR 72473-9148
Mailing address
1284 Grace St
Batesville, AR 72501-4429
Phone (870) 834-1563
Other providers in Tuckerman, AR
- Allison Browning Gates
- Autumn Christopher
- City Drug Store
- City of Tuckerman Recorder Treasurer
- Anne French
- Leslie Hall
- Nicholas Lee Haywood
- Kyndale Honey-Williams
- Jackson County School District
- Julie Keton
All providers in Tuckerman, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.