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

Marisa Gopaul

Individual provider Physical Therapist · NPI 1780063768

Marisa Gopaul is a Physical Therapist in Private Practice in Cannon AFB, New Mexico. Qualified in 2014, 12 years ago. Practices with Peoples Physical Therapy Inc, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015
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Practice location Address checks out

104 W D L Ingram Ave Bldg 1408 Cannon Afb
Cannon AFB, NM 88101
Phone: (575) 784-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7750 Sw 60th Ave Ste E, Ocala, FL 34476-6472 — (352) 433-1918

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT30177 (FL)

Record details

NPI number1780063768
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2015
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address4900 Sw 46th Ct Apt 1001, Ocala, FL 34474-6271

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Peoples Physical Therapy Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cannon AFB