Individual provider Active NPI

Daniel Dennis Gonzales

  • Physical Therapy Assistant
  • Corpus Christi, TX
National Provider Identifier
1962043273
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2143537 Issued in TX
Practice address
9929 S Padre Island Dr Ste 117
Corpus Christi, TX 78418-5148
Phone
(361) 657-0169
NPI assigned
Oct 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2143537 TX Primary

Addresses

Primary practice location

9929 S Padre Island Dr Ste 117
Corpus Christi, TX 78418-5148

Mailing address

5330 Seguin Dr
Corpus Christi, TX 78415-2018
Phone (361) 903-0455

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL d.gonzales21@yahoo.com
CONNECT URL d.gonzales21@yahoo Direct

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

LicenseStateTypeSpecialty
2143537TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1962043273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 SEGUIN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152018",
            "telephone_number": "361-903-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 S PADRE ISLAND DR STE 117",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185148",
            "telephone_number": "361-657-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DANIEL",
        "middle_name": "DENNIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2143537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "d.gonzales21@yahoo.com",
            "affiliation": "N",
            "address_1": "9929 S Padre Island Dr Ste 117",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784185148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "d.gonzales21@yahoo",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9929 S Padre Island Dr Ste 117",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784185148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.