| Joel Samuel Gonzalez, DPT | |
|
1972 Ormond Blvd Ste D, Destrehan, LA 70047-3812 | |
| (985) 307-0925 | |
| (985) 307-0826 |
| Full Name | Joel Samuel Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 1972 Ormond Blvd Ste D, Destrehan, Louisiana |
| 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 |
|---|---|---|---|
| 1609252428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 09168 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Region Rehab Llc | 4587623764 | 10 |
| Provider Name | River Region Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407829252 PECOS PAC ID: 4587623764 Enrollment ID: O20041004000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Samuel Gonzalez, DPT 1972 Ormond Blvd Ste D, Destrehan, LA 70047-3812 Ph: (985) 307-0925 | Joel Samuel Gonzalez, DPT 1972 Ormond Blvd Ste D, Destrehan, LA 70047-3812 Ph: (985) 307-0925 |
Wesley Malcolm Juneau, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12627 Airline Hwy Ste A, Destrehan, LA 70047 Phone: 985-603-4157 Fax: 985-603-4242 | |
Cody Migliore, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
Bryce James Hargis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Plantation Rd, Destrehan, LA 70047 Phone: 985-235-5400 Fax: 985-235-5401 | |
Patrick Lawrence Childress, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
William James Smith, PT, DPT, OCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
Brandon Kyle Robichaux, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4 Edgewood Dr, Destrehan, LA 70047 Phone: 504-559-7054 |