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

Kristy Gonzalez

Individual provider Orthopedic Physical Therapist · NPI 1164291274

Kristy Gonzalez is a Physical Therapist in Private Practice in Bay Shore, New York. Qualified in 2023, 3 years ago. Practices with Panetta Physical Therapy PC, a 14-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023

Practice location Address checks out

131 W Main St
Bay Shore, NY 11706-8315
Phone: (631) 665-4560
Fax: (631) 665-7213
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 051506-01 (NY)

Record details

NPI number1164291274
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2023
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Panetta Physical Therapy Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bay Shore