Lydia M Gomez, PHYSICAL THERAPY

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3763 Issued in FL

Practice address

6775 Crosswinds Dr. N
Saint Petersburg, FL 33710

Phone

(727) 381-8006

Fax

(727) 381-9629

NPI assigned

May 4, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lydia.ptgomezbamford@ckl.eclinicaldirectplus.com

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1659860708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 PARADISE BLVD",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063114",
            "telephone_number": "727-902-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 CROSSWINDS DR. N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-381-8006",
            "fax_number": "727-381-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "LYDIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Fabiola Gomez Guzman, MPH, MD
• Alexa Gomez
• Anthony David Gomez, APRN
• Daniel Gomez
• Emmanuel Octavio Gomez
• Marta Lizette Gomez, MA
• Rebekah Gomez
• Sherilyn Gomez
• Magdalen Gondor, M.D.
• Marta Gongora Ricardo

• Physical Therapist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.