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

Jennisey Lopez Gonzalez

Individual provider Physical Therapy Assistant · NPI 1306512603

Jennisey Lopez Gonzalez is a Physical Therapy Assistant in Pinecrest, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

12651 S Dixie Hwy Ste 205
Pinecrest, FL 33156-5955
Phone: (305) 232-9222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA31362 (FL)

Record details

NPI number1306512603
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

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