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

Mariela Diana Gonzalez

Individual provider Physical Therapist · NPI 1477337368

Mariela Diana Gonzalez is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2023, 3 years ago. Practices with Fox Rehabilitation Services Me LLC, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Maine.

Years since qualifying
3
Licensed in
CA, ME
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6701 Center Dr W Ste D
Los Angeles, CA 90045-1535
Phone: (213) 296-3783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15401 S Main St, Gardena, CA 90248-2214 — (424) 292-3260

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 309392 (CA)
Physical Therapist Taxonomy 225100000X · Licence PT6623 (ME)

Record details

NPI number1477337368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

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 Fox Rehabilitation Services Me Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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