Ashley Nicole Gutierrez, PT, DPT
Individual provider Active NPI Physical Therapist · Newcastle, OK
NPI 1033490644 · NPPES record last updated Nov 15, 2013
Key facts
- NPI
- 1033490644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4437 (OK)
- Practice address
- 3699 NW 32ND St
Newcastle, OK 73065-6559 - Phone
- (405) 387-5520
- Fax
- (405) 387-5404
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PTMS 3.0 LLC
Practice addresses (Care Compare)
845 E Veterans Memorial Hwy
Physical Therapy Central of Blanchard
Blanchard, OK 73010-9215
Phone (405) 809-8705
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111117000155 | OK | Practitioner - Physical Therapist in Private Practice | 1759555386 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTMS 3.0, LLC | Physical Therapist | Current |
Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
Locations
845 E Veterans Memorial Hwy
Blanchard, OK 73010
Phone (405) 760-5865
440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4437 | OK | Yes |
Addresses
Primary practice location
3699 NW 32ND St
Newcastle, OK 73065-6559
Mailing address
3699 NW 32ND St
Newcastle, OK 73065-6559
Phone (405) 387-5520
Other names
- Ashley Nicole Johnson
Other providers in Newcastle, OK
- Carrie Diane Gray
- Aiden Green
- Paige Green
- Philip Wayne Grider
- Jennifer Joy Griffin
- Eric D Hanson
- Healthcare Stat of Newcastle LLC
- Judy L Hensley
- Jordan Hites
- Candace J Hladik
All providers in Newcastle, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.