COREY ALEXANDER GONZALEZ (NPI# 1760039143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760039143 |
| Entity Type | Individual |
| Full Name | COREY ALEXANDER GONZALEZ |
| Credential | PT, DPT, CSCS |
| Practice Address |
11000 Prosperity Farms Rd Ste 203 Palm Beach Gardens FL 33410-3462 |
| Mailing Address |
5840 Corporate Way Ste 100 West Palm Beach FL 33407-2040 |
| Practice Telephone | 5614320111 |
| Practice Fax Number | 5614321075 |
| Mailing Telephone | 5614320111 |
| Mailing Fax Number | 5614321075 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT34941 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11000 PROSPERITY FARMS RD STE 203 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417167529 | Margarite Rodriguez Podder | Physical Therapist | 11000 Prosperity Farms Rd Ste 203, Palm Beach Gardens, FL 33410-3462 | 2007-05-23 |
| 1033741863 | Ana Maria Potes Gomez | Physical Therapist | 11000 Prosperity Farms Rd Ste 203, Palm Beach Gardens, FL 33410-3462 | 2020-02-10 |
| 1972024198 | Jamie Denise Peers | Specialist/Technologist | 11000 Prosperity Farms Rd Ste 203, Palm Beach Gardens, FL 33410-3462 | 2017-06-28 |
| 1659784320 | Natasha Monique Jackson | Physical Therapist | 11000 Prosperity Farms Rd Ste 203, Palm Beach Gardens, FL 33410-3462 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391355 | Brittany Oclon | Physical Therapist | 3450 Northlake Blvd., Suite 101, Palm Beach Gardens, FL 33403 | 2019-08-15 |
| 1275045809 | Kathryn Silvani | Physical Therapist | 4215 Burns Rd Ste 150, Palm Beach Gardens, FL 33410-4625 | 2017-11-05 |
| 1013338029 | Jessica Jorgensen | Physical Therapist | 4215 Burns Rd Ste 280, Palm Beach Gardens, FL 33410-4625 | 2013-12-17 |
| 1104806439 | Annmarie Aideen Brady | Physical Therapist | 537 Prestwick Cir, Palm Beach Gardens, FL 33418-8439 | 2006-01-20 |
| 1669017786 | Jon Saul | Physical Therapist | 4215 Burns Rd, Palm Beach Gardens, FL 33410-4625 | 2019-11-13 |
| 1801309422 | Jessica Jimenez | Physical Therapist | 4215 Burns Rd Ste 280, Palm Beach Gardens, FL 33410-4625 | 2017-11-06 |
| 1881105922 | Brett Raymond Wagner | Physical Therapist | 4215 Burns Rd Ste 280, Palm Beach Gardens, FL 33410-4625 | 2017-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422064 | Purpose Physical Therapy and Wellness, LLC | Physical Therapist | 3369 10th St N, St Petersburg, FL 33704-1205 | 2020-09-16 |
| 1114532074 | Rezalo Health & Performance | Physical Therapist | 27402 Bonterra Loop Apt 401, Wesley Chapel, FL 33544-5165 | 2020-09-08 |
| 1578173217 | Katherine Herzfeld | Physical Therapist | 2954 Mallory Cir Ste 110, Celebration, FL 34747-1820 | 2020-08-07 |
| 1447875331 | Janelle Marie Fleites | Physical Therapist | 6190 Sw 116th St, Pinecrest, FL 33156-4957 | 2020-06-16 |
| 1154944155 | University of Central Florida | Physical Therapist | 4098 Libra Dr Ste 114, Orlando, FL 32816-8026 | 2020-05-26 |
| 1164044590 | Prestige Health & Performance | Physical Therapist | 20354 Chestnut Grove Dr, Tampa, FL 33647-3344 | 2020-05-07 |
| 1295356491 | Complex Somi LLC | Physical Therapist | 5829 Sw 73rd St Ste 2, South Miami, FL 33143-5276 | 2020-04-29 |
| 1952939043 | Fix It Physical Therapy, LLC | Physical Therapist | 8262 Griffin Rd, Davie, FL 33328-3715 | 2020-04-01 |
| 1649806449 | Korbin Joseph Keene | Physical Therapist | 1053 Medical Center Dr Ste 151, Orange City, FL 32763-8261 | 2020-03-13 |
| 1740814391 | Jessy Chang | Physical Therapist | 8615 S Tamiami Trl # 1, Sarasota, FL 34238-3052 | 2020-02-22 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.