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

Jaylen Gonzalez, PTA

Individual provider Physical Therapy Assistant · NPI 1508576075

Jaylen Gonzalez, PTA is a Physical Therapy Assistant in Danville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
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

78 Woodbine Ln
Danville, PA 17821-8020
Phone: (570) 275-5240
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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 TE013157 (PA)

Record details

NPI number1508576075
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 24, 2022
Last updated in NPPESNovember 24, 2022
Certification dateNovember 24, 2022
Mailing address429 Hazle St, Quakake, PA 18245-2210

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