Active NPI
Emily Lynn Gonzalez, DPT, PT
- Physical Therapist
- Grand Junction, CO
National Provider Identifier
1851024343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38905
- Practice address
- 2115 Grand Ave
Grand Junction, CO 81501-8007 - Phone
- (702) 544-8729
- NPI assigned
- Jul 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | PT38905 | FL | Primary |
Addresses
Primary practice location
2115 Grand Ave
Grand Junction, CO 81501-8007
Mailing address
2115 Grand Ave
Grand Junction, CO 81501-8007
Phone (970) 254-4872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT38905 | Other | FL | PT LICENSE |
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 |
|---|---|---|---|
| PT38905 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesa County Valley School District #51 | Current | Accepting new patients | |
| Pediatric Therapy Services Inc | Past | Accepting new patients |
Locations
2115 Grand Ave
Grand Junction, CO 81501
Phone 9702544872 ext. 12160
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Grand Junction, CO
- NPI 1851475628
-
- Clinic/Center
- Lakeland, FL
- NPI 1407834021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1851024343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 GRAND AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018007",
"telephone_number": "970-254-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 GRAND AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018007",
"telephone_number": "702-544-8729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "EMILY",
"middle_name": "LYNN",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-03",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT38905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT38905",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.