Kristina Rae Cruz Gonzales, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60103897 Issued in WA

Practice address

5340 N Bristol St
Tacoma, WA 98407-2204

Phone

(253) 756-6259

NPI assigned

May 2, 2009

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1241222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1902030158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17303 18TH AVE E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983877631",
            "telephone_number": "626-253-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N BRISTOL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072204",
            "telephone_number": "253-756-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "KRISTINA RAE",
        "middle_name": "CRUZ",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-02",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60103897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawny Marie Goninan, MA
• Dorothy G Gonzaga, ARNP
• Arantxa L Gonzales Vasquez
• Alyssa Marie Gonzales
• Kosal Eugene Gonzales
• Michelle Gonzales, L.M.P.
• Eileen C Gonzalez Legg, LCSW
• Cynthia Gonzalez Ortiz, RN
• Abigail Gonzalez
• Alonzo Santana Gonzalez

• Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.