Individual provider Active NPI

Cindy Adriana Gutierrez, DPT

  • Physical Therapist
  • Manhattan Beach, CA
National Provider Identifier
1013789361
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
400 S Sepulveda Blvd
Manhattan Beach, CA 90266-6814
Phone
(310) 546-3461
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 Primary

Addresses

Primary practice location

400 S Sepulveda Blvd
Manhattan Beach, CA 90266-6814

Mailing address

9181 La Ronda St
Alta Loma, CA 91701-5716
Phone (909) 244-7567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000959 CA Practitioner - Physical Therapist in Private Practice 5294176087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Water and Sports Physical Therapy IncGroup PAC ID 2365433232, 22 clinicians

Practice addresses (Care Compare)

12234 Poway Rd
Poway, CA 92064-4200
Phone (858) 488-3597

501 W Broadway
San Diego, CA 92101-3536
Phone (858) 488-3597

9972 Scripps Ranch Blvd
San Diego, CA 92131-1825
Phone (858) 488-3597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Water and Sports Physical Therapy, Inc Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
Water and Sports Physical Therapy Past Accepting new patients

Locations

12234 Poway Rd
Poway, CA 92064

3639 Midway Dr
#B286
San Diego, CA 92110

501 W Broadway
San Diego, CA 92101
Phone (619) 237-9027

Organizations & group practices 2

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1013789361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9181 LA RONDA ST",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917015716",
            "telephone_number": "909-244-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666814",
            "telephone_number": "310-546-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CINDY",
        "middle_name": "ADRIANA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.