LG Gonzales Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LG GONZALES PHYSICAL THERAPY PLLC

Practice address

201 Ravine Ave Apt 7a
Yonkers, NY 10701-1815

Phone

(205) 834-6027

Fax

(914) 965-9019

NPI assigned

Sep 17, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis Guting Gonzales Jr., PTNPI 1164616496

Title

Owner

Phone

(205) 834-6027

Specialties & licenses 1

Addresses

Tax ID family

LG Gonzales Physical Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• LG Gonzales Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Yonkers, NY
  • NPI 1023622610
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Guting Gonzales Jr., PT

  • Physical Therapist
  • Yonkers, NY
  • NPI 1164616496
  NPD (past) Authorized official

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1780290684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RAVINE AVE APT 7A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011815",
            "telephone_number": "205-834-6027",
            "fax_number": "914-965-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RAVINE AVE APT 7A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011815",
            "telephone_number": "205-834-6027",
            "fax_number": "914-965-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG GONZALES PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "GUTING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-834-6027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Allan Lew, DMD
• Aisha Lewis
• Rachel Lewis
• LG Gonzales Physical Therapy PLLC
• LG Gonzales Physical Therapy PLLC
• Alix Robert Lherisson, MD
• Devin Li, DO
• Liberty RC Inc
• Robyn Lieber
• Hsiao Mei Lieu, MD

• Physical Therapy Clinic/Center in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Physical Therapy Clinic/Center in New York

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