Adelaida Gonzales, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011899 Issued in MI

Practice address

1500 S Main St
Eaton Rapids, MI 48827-1952

Phone

(517) 663-9531

Fax

(517) 663-9527

NPI assigned

Jul 23, 2014

Sex

Female

Sole proprietor

No

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.

• Sams Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Leslie, MI
  • NPI 1306073945

  Physical Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902214844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70038",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489087038",
            "telephone_number": "517-599-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271952",
            "telephone_number": "517-663-9531",
            "fax_number": "517-663-9527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 S Main Street",
            "address_purpose": "LOCATION",
            "city": "Leslie",
            "state": "MI",
            "postal_code": "492510158",
            "country_code": "US",
            "telephone_number": "517-589-9050",
            "fax_number": "517-589-9059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ADELAIDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Everett, RN
• James E. Fast
• John G Fata, MD
• Bradley J Garrett, DO
• Stacy Gatz, LLP, CCSOTS
• Vickie L Gregory, C.N.M., N.P.,R.N.
• Ashok K Gupta, MD
• Erin Carol Hackney, OTR/L
• Hammer Family Group LLC
• Logan Haney, PA-C

• All providers in Eaton Rapids, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.