Individual provider Active NPI

Alexander Guzzo, PTA

  • Physical Therapy Assistant
  • Spring, TX
National Provider Identifier
1073992996
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2074433 Issued in TX
Practice address
333 Holly Creek CT Apt 1708
Spring, TX 77381-2659
Phone
(512) 351-0390
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2074433 TX Primary

Addresses

Primary practice location

333 Holly Creek CT Apt 1708
Spring, TX 77381-2659

Mailing address

333 Holly Creek CT Apt 1708
Spring, TX 77381-2659
Phone (512) 351-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2074433TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Supplemental Healthcare Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1073992996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HOLLY CREEK CT APT 1708",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773812659",
            "telephone_number": "512-351-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HOLLY CREEK CT APT 1708",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773812659",
            "telephone_number": "512-351-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZZO",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2074433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.