Andrea Carolina Gomez, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299624 Issued in CA

Practice address

10590 Town Center Dr Ste 100
Rancho Cucamonga, CA 91730-0361

Phone

(909) 948-1124

Fax

(909) 948-1104

NPI assigned

Jan 6, 2021

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)

Not enrolled

State licenses

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.

• Team Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1205869070

  Physical Therapist

  NPD

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1659969442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7844 VALLE VISTA DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301838",
            "telephone_number": "909-525-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 TOWN CENTER DR STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300361",
            "telephone_number": "909-948-1124",
            "fax_number": "909-948-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ANDREA",
        "middle_name": "CAROLINA",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Gomar
• Diana Gomez Ramirez
• Cristian Gomez-Cuahuizo
• Elena Ganae Gomez-Espinosa
• Briney Gomez-Lopez
• Bianca Gomez
• Cristina Gomez
• Gabriela Tamara Gomez
• Jesse Gomez
• Miranda Nichole Gomez

• Physical Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.