Individual provider Active NPI

Emily Rose Guedes, DPT

  • Physical Therapist
  • New Haven, CT
National Provider Identifier
1043640329
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9649 Issued in CT
Practice address
230 George St
New Haven, CT 06510-3224
Phone
(203) 498-5980
Fax
(203) 498-5999
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 9649 CT Primary

Addresses

Primary practice location

230 George St
New Haven, CT 06510-3224

Mailing address

230 George St
New Haven, CT 06510-3224
Phone (203) 498-5980

Other identifiers 3

IdentifierTypeStateIssuer
040.0091430OtherVTPHYSICAL THERAPY LICENSE
9649OtherCTPHYSICAL THERAPIST LICENSE
035714-1OtherNYPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251009004121 CT Practitioner - Physical Therapist in Private Practice 9638676059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rvnahealth, IncGroup PAC ID 7416990569, 29 clinicians

Practice addresses (Care Compare)

27 Governor St
Ridgefield, CT 06877-4657
Phone (203) 438-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rvnahealth, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Rvnahealth, Inc. CurrentSince Sep 1, 2025 Accepting new patients

Locations

27 Governor St
Ridgefield, CT 06877
Phone (203) 438-5555

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": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1043640329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103224",
            "telephone_number": "203-498-5980",
            "fax_number": "203-498-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103224",
            "telephone_number": "203-498-5980",
            "fax_number": "203-498-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEDES",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "040.0091430",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "9649",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "035714-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.