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

Jarra Mae Santos Gonzales, PTA

Individual provider Physical Therapy Assistant · NPI 1922728781

Jarra Mae Santos Gonzales, PTA is a Physical Therapy Assistant in Elmont, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1760 Dutch Broadway
Elmont, NY 11003-5006
Phone: (516) 812-6145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 013280 (NY)

Record details

NPI number1922728781
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

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