Victoria Maria Gonzalez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010255 Issued in NY

Practice address

11 Christopher St
Staten Island, NY 10303-2009

Phone

(917) 696-7588

NPI assigned

Dec 4, 2018

Last updated

Dec 4, 2018By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1932679891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHRISTOPHER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032009",
            "telephone_number": "917-696-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHRISTOPHER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032009",
            "telephone_number": "917-696-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VICTORIA",
        "middle_name": "MARIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas J Gonzalez, LMSW
• Orlando Gonzalez Jr., MD
• Rebecca Lyn Gonzalez, P.T.
• Rebecca Rose Gonzalez
• Rosaura Gonzalez, L.AC.
• Caitlin Gonzalo, MS, RN, FNP-BC
• Lori Gonzalo, RPA-C
• Good Care PT PC
• Good Faith Adult Day Care Inc
• Good Faith Social Daycare

• Physical Therapy Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.