Christopher George Gozdz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18539 Issued in FL

Practice address

2221 SE Ocean Blvd Ste 200
Stuart, FL 34996-3341

Phone

(772) 283-5500

Fax

(772) 200-2131

NPI assigned

Jan 7, 2020

Last updated

Jan 7, 2020By the provider in NPPES

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

Other identifiers 1

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1679113781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-200-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 SE OCEAN BLVD STE 200",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963341",
            "telephone_number": "772-283-5500",
            "fax_number": "772-200-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZDZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT18539",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Robert Gosney, LMT
• Monica Gossett
• Paul Norman Gotkin, DPM
• Miranda Gowers
• Cesar Alexander Goza Rivera
• Jillian Paige Grace, RN
• Yesenia Gracida
• Dacia Lyn Grady
• Riane Grady
• Lyndsey Hope Graff, RMHCI

• Physical Therapist in Stuart, FL
• Providers in Stuart, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.