Della Grace Guerra, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 26378 Issued in FL

Practice address

13940 US-441 #702
All Coast Therapy Services Outpatient Inc.
Lady Lake, FL 32159

Phone

(352) 751-6005

NPI assigned

Mar 15, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All Coast Therapy Services Outpatient Inc

  • Physical Medicine & Rehabilitation Physician
  • Lady Lake, FL
  • NPI 1104889260
  NPD (past)

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1053852632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13226 SW 17TH STREET RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344814011",
            "telephone_number": "352-304-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 US-441 #702",
            "address_2": "ALL COAST THERAPY SERVICES OUTPATIENT INC.",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-751-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "DELLA",
        "middle_name": "GRACE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 26378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Alan Green, PA-C
• Joyce P Greene, APRN
• Deborah Lee Gregg, PTA
• Paula Marsh Gregory, D.O.
• Maria-Teresa G Guadagni, OTR L, CHT, MA ED
• Johnny Gurgen, D.O.
• Murat Michael Gurgen, ARNP
• Michel S Habashy
• Shannon Elaine Haerter, APRN
• John Mark Hamm, PT

• Physical Therapy Assistant in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.