Active NPI
Christie Cunanan Gongora, P.T.
- Physical Therapist
- Zephyrhills, FL
National Provider Identifier
1720093271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25045
- Practice address
- 38051 Market SQ
Zephyrhills, FL 33542-7504 - Phone
- (813) 779-2057
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25045 | FL | Primary |
Addresses
Primary practice location
38051 Market SQ
Zephyrhills, FL 33542-7504
Mailing address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 780-1255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25045 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1720093271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38135 MARKET SQ",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335427505",
"telephone_number": "813-780-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38051 MARKET SQ",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335427504",
"telephone_number": "813-779-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONGORA",
"first_name": "CHRISTIE",
"middle_name": "CUNANAN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.