Individual provider Active NPI

Andrea C Gutierrez, D.P.T.

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1003213539
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 41542 Issued in CA
Practice address
325 Rolling Oaks Drive
Suite 210
Thousand Oaks, CA 91361-1088
Phone
(805) 446-3141
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 41542 CA Primary

Addresses

Primary practice location

325 Rolling Oaks Drive
Suite 210
Thousand Oaks, CA 91361-1088

Mailing address

325 Rolling Oaks Drive
Suite 210
Thousand Oaks, CA 91361-1088
Phone (805) 446-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210603000171 NC Practitioner - Physical Therapist in Private Practice 5597089748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina Hospitals at Chapel HillGroup PAC ID 4486561008, 110 clinicians

Practice addresses (Care Compare)

3708 Mayfair St
Suite 120
Durham, NC 27707-6223
Phone (984) 215-4970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41542CAMDMarriage & Family Therapist
PT 41542CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Apr 5, 2021 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

3708 Mayfair St
Ste 120
Durham, NC 27707
Phone (984) 215-4780

5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1003213539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ROLLING OAKS DRIVE",
            "address_2": "SUITE 210",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611088",
            "telephone_number": "805-446-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ROLLING OAKS DRIVE",
            "address_2": "SUITE 210",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611088",
            "telephone_number": "805-446-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 41542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.