Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gina Marie Gonsalves

Individual provider Physical Therapist · NPI 1164258927

Gina Marie Gonsalves is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2024, 2 years ago. Practices with Proactive Physical Therapy and Sports Medicine Inc, a 51-clinician group. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

17150 Via Del Campo Ste 200
San Diego, CA 92127-2137
Phone: (858) 381-5084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 306782 (CA)

Record details

NPI number1164258927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 29, 2024
Certification dateSeptember 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Proactive Physical Therapy And Sports Medicine Inc — 51 clinicians
Accepts Medicare assignment Not indicated

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