MATTHEW WAYNE GONZALEZ PT NPI 1356416788

NPI Information

  • NPI: 1356416788
  • Provider Name: MATTHEW WAYNE GONZALEZ, PT
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 301 PERKINS DR
    LAS CRUCES, NM
    ZIP 88005
  • Phone: (505) 523-7243

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NPI Details

Matthew Wayne Gonzalez, PT is a specialist in Las Cruces, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Matthew Wayne Gonzalez, PT NPI is 1356416788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 PERKINS DR
LAS CRUCES, NM
ZIP 88005-248
Phone: (505) 523-7243
Fax: (505) 523-7254

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist3211NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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