Brianne Nicole Gonzales, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30344 Issued in FL

Practice address

740 Carolin St Apt 101
Melbourne, FL 32901-3262

Phone

(321) 213-2282

NPI assigned

Oct 3, 2020

Last updated

Oct 3, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1720685712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CAROLIN ST APT 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013262",
            "telephone_number": "321-213-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CAROLIN ST APT 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013262",
            "telephone_number": "321-213-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "BRIANNE",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto A Gomez-Suarez, M.D.
• Melany Gomez
• Bo Gong
• Megan Gonnelly, M.A.
• Gene Gonyaw, CRNA
• Adamarys Gonzalez Ramos, MD
• Carlos Luis Gonzalez, SA-C
• Daineysy Gonzalez, PA-C
• Gabriel Gonzalez
• Jean Gonzalez, APRN

• Physical Therapy Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.