| David Alexander Gonzalez, DPT, PT | |
|
109 Mcnary Estates Dr N, Keizer, OR 97303-7459 | |
| (503) 463-5231 | |
| (503) 463-5175 |
| Full Name | David Alexander Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 109 Mcnary Estates Dr N, Keizer, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992516330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT61651348 (Washington) | Secondary |
| 225100000X | Physical Therapist | CP053389T (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Everett Physical Therapy And Sport Performance Center Pllc | 3779475181 | 15 |
| Multicare Health System | 7719899897 | 1815 |
| Provider Name | Everett Physical Therapy And Sport Performance Center Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699713370 PECOS PAC ID: 3779475181 Enrollment ID: O20040329000985 |
| Mailing Address | Practice Location Address |
|---|---|
| David Alexander Gonzalez, DPT, PT 3400 State St Ste G780, Salem, OR 97301-7015 Ph: (503) 463-5231 | David Alexander Gonzalez, DPT, PT 109 Mcnary Estates Dr N, Keizer, OR 97303-7459 Ph: (503) 463-5231 |
Jean Jarbath, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5955 Shoreview Ln N Ste 100, Keizer, OR 97303 Phone: 503-463-4221 Fax: 503-463-4522 | |
Ptconnectllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7468 Everwood St Ne, Keizer, OR 97303 Phone: 503-451-5058 | |
Christian Phillips, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4025 Cherry Ave Ne, Keizer, OR 97303 Phone: 503-390-9009 | |
Mrs. Kay Ellen Blachly, PT CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5825 Shoreview Ln N, Keizer, OR 97303 Phone: 503-540-6471 Fax: 503-540-6404 | |
John Marshall Frey, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 Mcnary Estates Dr N, Suite B, Keizer, OR 97303 Phone: 503-463-4221 Fax: 503-463-4522 | |
Brenden D Thompson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 109 Mcnary Estates Dr N, Keizer, OR 97303 Phone: 503-463-4231 Fax: 503-463-5175 | |
Cody Lommen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5955 Shoreview Ln N, Ste. 100, Keizer, OR 97303 Phone: 503-463-4221 Fax: 503-463-4522 |