Boanerges Guzman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61423712 Issued in WA

Practice address

513 1St Ave
Zillah, WA 98953-9432

Phone

(509) 829-5230

NPI assigned

Aug 10, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Kent, WA
  • NPI 1750010120
  Medicare reassignment Care Compare group NPD
• RMTS Zillah LLC

  • Physical Therapist
  • Zillah, WA
  • NPI 1255779732
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Tallulah, LA
  • NPI 1154852382
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Abington, PA
  • NPI 1235653403
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1235780115
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Menomonee Falls, WI
  • NPI 1245755487
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Boulder, CO
  • NPI 1376038646
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Clinton, TN
  • NPI 1376073262
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Dallas, OR
  • NPI 1376272732
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Brownstown TWP, MI
  • NPI 1457868937
  Care Compare group

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1083397475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540640",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840540640",
            "telephone_number": "801-987-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 1ST AVE",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989539432",
            "telephone_number": "509-829-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "BOANERGES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61423712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chase Elwood, OT
• Keslie Shea Flink
• Peter Grunert
• Harrison Health, PC
• Stephen Paul Harrison, DDS
• Brian Scott Hatch
• Robert J Hayes
• HD Rose LLC

• All providers in Zillah, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.