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

Mr. Kevin Amburgo Gonzales, PT

Individual provider Physical Therapist · NPI 1508685819

Mr. Kevin Amburgo Gonzales, PT is a Physical Therapist in Private Practice in Freeport, New York. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2024
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

73 Guy Lombardo Avenue Imsk & Spine Group
Freeport, NY 11520
Phone: (516) 888-3625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 052698 (NY)

Record details

NPI number1508685819
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 4, 2024
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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