Individual provider Active NPI

Andrew Guthart

  • Physical Therapist
  • Vero Beach, FL
National Provider Identifier
1093490476
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT40353 Issued in FL
Practice address
9055 Americana Rd
Vero Beach, FL 32966-6671
Phone
(772) 774-8392
NPI assigned
Jun 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 PTT40353 FL Primary

Addresses

Primary practice location

9055 Americana Rd
Vero Beach, FL 32966-6671

Mailing address

9055 Americana Rd
Vero Beach, FL 32966-6671
Phone (772) 774-8392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801002853 FL Practitioner - Physical Therapist in Private Practice 9739540196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
81.73
Improvement activities
40
Cost
74.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT40353FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy Services PC Current Accepting new patients
Longevity Rehabilitation Center Inc Physical Therapist CurrentSince Aug 2, 2023 Accepting new patients

Locations

1515 Indian River Blvd
Ste A135
Vero Beach, FL 32960
Phone (772) 978-9750

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1093490476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 AMERICANA RD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666671",
            "telephone_number": "772-774-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 AMERICANA RD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666671",
            "telephone_number": "772-774-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHART",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT40353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.