Ethan C Gonzales, DPT
Physical Therapist in Marlton, New Jersey
1386471381- Practice location
- 999 Route 73 N Fl 4, Marlton, NJ 08053-1227
- Phone
- 856-821-6372
- Fax
- 856-821-6339
- Last updated
- September 16, 2024
Ethan Carlos Gonzales is a Physical Therapist based in Marlton, NJ. Ethan Carlos Gonzales practices in Marlton, NJ and has the professional credentials of DPT. The NPI Number for Ethan Carlos Gonzales is 1386471381 and holds a License No. 40QA02289100 (NJ). The current practice location address for Ethan Carlos Gonzales is 999 Route 73 N Fl 4, Marlton, NJ 08053-1227 and can be reached out via phone at 856-821-6372 and via fax at 856-821-6339.
Provider Profile Details
- NPI Number
- 1386471381
- Provider Name
- Ethan Carlos Gonzales
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 999 Route 73 N Fl 4, Marlton, NJ 08053-1227
- Phone Number
- 856-821-6372
- Fax Number
- 856-821-6339
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 16, 2024
- Last Update Date
- September 16, 2024
- Certification Date
- September 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 999 Route 73 N Fl 4
Marlton, NJ 08053-1227 - City
- Marlton
- State
- New Jersey
- Zip
- 08053-1227
- Phone Number
- 856-821-6372
- Fax Number
- 856-821-6339
Provider Business Mailing Address Details
- Address
- 2906 Good Intent RD
Woodbury, NJ 08096-4458 - City
- Woodbury
- State
- NJ
- Zip
- 08096-4458
- Phone Number
- 856-834-4839
License Information
- License Number
- 40QA02289100
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ethan C Gonzales, DPT?
The NPI number of Ethan C Gonzales, DPT is 1386471381. It was assigned on September 16, 2024 and is currently active in the NPPES registry.
What is the specialty of Ethan C Gonzales, DPT?
Ethan C Gonzales, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02289100.
Where does Ethan C Gonzales, DPT practice?
The practice location is 999 Route 73 N Fl 4, Marlton, NJ 08053-1227. The office can be reached at 856-821-6372 (phone) or 856-821-6339 (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 1386471381 directly on the NPPES registry website.