Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEM PAULA DAGONDON GONZAGA, PT
DeactivatedGEM PAULA DAGONDON GONZAGA, PT is a Physical Therapy Assistant healthcare provider located in PATCHOGUE, New York. NPI 1417566118 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PATCHOGUE, NY
This NPI has been deactivated.
The record was deactivated on September 9, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417566118
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2020 (0.11780821917808 yrs)
- Last Updated
- Jan 13, 2021
- Deactivated
- Sep 9, 2020
- License
-
040496-1 (NY)
Practice Information
- Address
-
25 SCHOENFELD BLVDPATCHOGUE, NY, 117722982Browse NY providers · Browse ZIP 11772
- Phone
- 6312897700
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PATCHOGUE, NY
| Name | Credential | NPI |
|---|---|---|
| MICHELLE DOXSEE | — | 1265461560 |
| DANIEL MICHAEL MONDIELLO | DPT | 1760407340 |
| BLAKE HOLLAND | DPT | 1922023514 |
| WILLIAM KELTZ | DPT | 1649295213 |
| MR. RUSSELL TAVERAS | PT | 1669587465 |
| JOHN LOWE WILSON | PT | 1063527034 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.