Spencer Kellen Gonzalez

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT007365 Issued in OH

Practice address

707 US 50
Milford, OH 45150-9510

Phone

(513) 346-8947

NPI assigned

Jun 6, 2024

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1699516179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HILLCREST DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 US 50",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451509510",
            "telephone_number": "513-346-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SPENCER",
        "middle_name": "KELLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT007365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Michelle Gillette
• Rachel Gleason, PT, DPT, MS
• William Robert Glockner, DDS
• Destinee Godbey, RBT
• Hillary Goetz
• Jessica Gragg
• Angela Grantmaier, CNP
• Chandler Brooke Gray
• Valerie Gray, RBT
• Amanda D Greathouse

• Athletic Trainer in Milford, OH
• Providers in Milford, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.