Christine Ann-Root Gomez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

145 S Main St
Wayland, MI 49348-1701

Phone

(269) 792-4410

Fax

(269) 792-4538

NPI assigned

Jul 13, 2006

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

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831114693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 SANDRA DR",
            "city": "PARCHMENT",
            "state": "MI",
            "postal_code": "490049599",
            "telephone_number": "269-382-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S MAIN ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481701",
            "telephone_number": "269-792-4410",
            "fax_number": "269-792-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CHRISTINE",
        "middle_name": "ANN-ROOT",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korin Fletemier, DDS
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• Samantha Marie Gann, BSN, RN
• Reagan Frances Gielincki, MS, OTR, IBCLC
• Tina Marie Gillman
• Paige Goodman
• Great Lakes Inclusion Center
• Virginia Jane Greenlee, OTR
• Adam Greenman, D.C.
• Brittany Marie Gregory, D.C.

• All providers in Wayland, MI
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.