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

Jonathan Orio Gonzaga, PT

Individual provider Specialist · NPI 1629248562

Jonathan Orio Gonzaga, PT is a Physical Therapist in Private Practice in Fair Lawn, New Jersey. Qualified in 1998, 28 years ago. Accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
28
Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

14-25 Plaza Rd S31
Fair Lawn, NJ 07410-3546
Phone: (201) 797-2050
Fax: (201) 797-2051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 40QA01303200 (NJ)
Specialist Taxonomy 174400000X · Licence 028580 (NY)

Record details

NPI number1629248562
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 6, 2008
Last updated in NPPESJune 6, 2013
Mailing address14-25 Plaza Rd, S-3-1, Fair Lawn, NJ 07410-3546

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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