Mark Guzman, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

009077 Issued in NY

Practice address

475 Northern Blvd Ste 19
Great Neck, NY 11021-4802

Phone

(516) 829-0030

NPI assigned

Jun 4, 2016

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Provident Physical and Occupational Therapy PLLCGroup PAC ID 5395006167, 2 clinicians

Evolution Home Physical Therapy, P.C.Group PAC ID 5092721381, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Evolution Home Physical Therapy, P.C.

  • Physical Therapist
  • Port Jefferson, NY
  • NPI 1477564599
  Medicare reassignment Care Compare group NPD
• Provident Physical and Occupational Therapy PLLC

  • Physical Therapist
  • East Northport, NY
  • NPI 1144742479

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC

  • Physical Therapist
  • Holbrook, NY
  • NPI 1326355132

  Occupational Therapist

  Medicare reassignment NPD
• Physical Medicine & Rehabilitation of Long Island

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brightwaters, NY
  • NPI 1003293366
  Medicare reassignment NPD
• Reddy Care Physical and Occupational Therapy PLLC

  • Specialist
  • Great Neck, NY
  • NPI 1477052967
  Medicare reassignment NPD
• Family Residences and Essential Enterprises, Inc.

  dba Terry's Place

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Old Bethpage, NY
  • NPI 1497943757
  NPD (past)
• Provident Health Partners Inc.

  • Clinic/Center
  • Medford, NY
  • NPI 1275157000
  NPD (past)
• Reddy Care Physical Therapy PC

  • Specialist
  • Great Neck, NY
  • NPI 1932171097
  NPD (past)

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

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1003265620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RALEIGH LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544418",
            "telephone_number": "516-435-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD STE 19",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-829-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Raleigh Ln",
            "address_purpose": "LOCATION",
            "city": "Kings Park",
            "state": "NY",
            "postal_code": "117544418",
            "country_code": "US",
            "telephone_number": "516-435-8513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "MARK",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-04",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "009077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adarsh Gupta, MD
• Nidhi Gupta, M.D
• Steven Gutieerrez
• Guy Farber MD PLLC
• Guy L. Mintz M.D. PLLC
• H. Sasson, M.D., P.C.
• H. Sasson, MD, Facs, PC
• Rosemarie Haase, FNP
• Laurence D. Haber, M.D.
• Meaghan Ashley Haber, MS, OTR/L

• Occupational Therapist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.