Amy Dominique Gonzalez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6124 Issued in NM

Practice address

306 N California St
Socorro, NM 87801-4207

Phone

(575) 835-8343

NPI assigned

Jul 6, 2022

Last updated

Jul 6, 2022By 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

Other names 1

• Amy Dominique Frank Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1780317784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704A DESERT HOLLY PL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871163222",
            "telephone_number": "575-770-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N CALIFORNIA ST",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014207",
            "telephone_number": "575-835-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMY",
        "middle_name": "DOMINIQUE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT6124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FRANK",
            "middle_name": "DOMINIQUE",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Renee Gautier, MS LPCC
• Maurice Geurts, M.D.
• Goforth Chiropractic, LLC
• Phillip Darin Goforth, D.C.
• Timothy Paul Gonzales, CCSS
• Danielle Isabel Gordon, LMHC
• John William Gordon, LMFT
• Oletha Hope Gould, LPCC
• Mary Elizabeth Green, CCSS
• Jennifer Marie Gregory, CNP

• Physical Therapist in Socorro, NM
• Providers in Socorro, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.