John Andrew Gonzaba

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

8081 Walnut Hill LN Ste 1000
Dallas, TX 75231-4313

Phone

(737) 932-3446

NPI assigned

Jul 29, 2021

Last updated

Oct 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ap Therapy LLC

  dba Sequoia Care Outpatient Therapy Services

  • Physical Therapist
  • League City, TX
  • NPI 1821823717
  Medicare reassignment NPD
• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656
  Medicare reassignment NPD

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1902579485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 WALNUT HILL LN STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314313",
            "telephone_number": "214-239-0993",
            "fax_number": "214-239-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 WALNUT HILL LN STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314313",
            "telephone_number": "737-932-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZABA",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keerthi Gondi
• Mei Gong
• Timothy Allan Gong, M.D.
• Wei Gong, M.D.
• Sophie Gonsoulin, LCSW
• Gonzalaz Med Supplies LLC
• Alana Jade Gonzales, PHARMD
• Angie T Gonzales, CPO
• Antonio Gonzales, LPC
• Brittany Marie Gonzales, OTR

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.