Active NPIIndividual providerSole proprietor

Mr. Kevin L Gonzalez, PT

Physical Therapist in Eatontown, New Jersey

NPI Number1225068158
Practice location
158 Wyckoff RD, Eatontown, NJ 07724-1840
Fax
732-544-0008
Last updated
November 28, 2007

Kevin Luis Gonzalez is a Physical Therapist based in Eatontown, NJ. Kevin Luis Gonzalez practices in Eatontown, NJ and has the professional credentials of PT. The NPI Number for Kevin Luis Gonzalez is 1225068158 and holds a License No. QA 06161 (NJ). The current practice location address for Kevin Luis Gonzalez is 158 Wyckoff RD, Eatontown, NJ 07724-1840 and can be reached out via phone at 732-544-0007 and via fax at 732-544-0008.

Provider Profile Details

NPI Number
1225068158
Provider Name
Kevin Luis Gonzalez
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
158 Wyckoff RD, Eatontown, NJ 07724-1840
Phone Number
732-544-0007
Fax Number
732-544-0008
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
July 4, 2006
Last Update Date
November 28, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
158 Wyckoff RD
Eatontown, NJ 07724-1840
Zip
07724-1840
Phone Number
732-544-0007
Fax Number
732-544-0008
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
158 Wyckoff RD
Eatontown, NJ 07724-1840
City
Eatontown
State
NJ
Zip
07724-1840
Phone Number
732-544-0007
Fax Number
732-544-0008

License Information

License Number
QA 06161
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kevin L Gonzalez, PT?

The NPI number of Mr. Kevin L Gonzalez, PT is 1225068158. It was assigned on July 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin L Gonzalez, PT?

Mr. Kevin L Gonzalez, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number QA 06161.

Where does Mr. Kevin L Gonzalez, PT practice?

The practice location is 158 Wyckoff RD, Eatontown, NJ 07724-1840. The office can be reached at 732-544-0007 (phone) or 732-544-0008 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225068158 directly on the NPPES registry website.

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