Spencer Gonzaga

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23120 Issued in MD

Practice address

6955 Oakland Mills Rd
Suite E
Columbia, MD 21045-5849

Phone

(443) 979-7171

NPI assigned

Mar 18, 2017

Sex

Male

Sole proprietor

No

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

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.

• Johns Hopkins Community Physicians

  dba JHCP- 6225 Smith Avenue; Mental Health Therapy

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1356161806
  NPD
• Johns Hopkins Community Physicians, Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1578598868
  NPD
• Johns Hopkins Community Physicians, Inc

  • Physical Medicine & Rehabilitation Physician
  • Odenton, MD
  • NPI 1669293668

  Physical Therapist

  NPD

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1962943308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MARASCO CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 OAKLAND MILLS RD",
            "address_2": "SUITE E",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455849",
            "telephone_number": "443-979-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "SPENCER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Gomez
• Graciela Gomez, M.A., B.C.B.A
• Donna Gonella
• Joseph Elliott Gongaware
• Jamila Afiya Gonsalves, RN
• Katia Gonzales, LGPC
• Esther Gonzalez Escalante
• Jennifer Rachelle Gonzalez-Cruz
• Alba Julia Gonzalez I
• Jennyfer Gonzalez

• Physical Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.