Miriam Ines Guerrero

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4476 Issued in TN

Practice address

1410 Frank Campbell Rd
Jamestown, TN 38556-5673

Phone

(931) 704-0668

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Miriam Guerrero

  • Physical Therapy Clinic/Center
  • Jamestown, TN
  • NPI 1700513454
  NPD (past) Authorized official

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1043661879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FRANK CAMPBELL RD",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385565673",
            "telephone_number": "931-704-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FRANK CAMPBELL RD",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385565673",
            "telephone_number": "931-704-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MIRIAM",
        "middle_name": "INES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q027455",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terra R Goodman, LPN
• Ashley Goodrich, MS, LADC, MAC
• Lorry Gray, SLP
• Lynda Ann Green, CNP GNP
• David A. Grigsby, M.D.
• Gurnard Emergency Physicians LLC
• Hall Family Pharmacy Inc
• Philip M Hall, PHARMD
• Wendy Hinds
• Hma Fentress County General Hospital

• Physical Therapist in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.