Active NPI
Ben Makanamaikalani Gonzalez
- Physical Therapist
- Los Lunas, NM
National Provider Identifier
1982128765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5114
- Practice address
- 535 Hwy 314 SW
Los Lunas, NM 87031-9600 - Phone
- (505) 866-0055
- NPI assigned
- Aug 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5114 | NM | Primary |
Addresses
Primary practice location
535 Hwy 314 SW
Los Lunas, NM 87031-9600
Mailing address
535 Hwy 314 SW
Los Lunas, NM 87031-9600
Phone (505) 866-0055
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Physical Therapy and Wellness Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Belen, NM
- NPI 1356491146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982128765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 HWY 314 SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870319600",
"telephone_number": "505-866-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 HWY 314 SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870319600",
"telephone_number": "505-866-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "BEN",
"middle_name": "MAKANAMAIKALANI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "5114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.