Individual provider Active NPI

Michelle S Guevin, PT DPT MHSC MTC

  • Physical Medicine & Rehabilitation Physician
  • Bradenton, FL
National Provider Identifier
1104019710
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT7409 Issued in FL
Practice address
3637 Cortez Rd W
Ste 103
Bradenton, FL 34210-3145
Phone
(941) 739-7828
Fax
(941) 739-7838
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT7409 FL Primary

Addresses

Primary practice location

3637 Cortez Rd W
Ste 103
Bradenton, FL 34210-3145

Mailing address

3637 Cortez Rd W
Ste 103
Bradenton, FL 34210-3145
Phone (941) 739-7828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000391 FL Practitioner - Physical Therapist in Private Practice 3476446956 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7409FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Medical Specialists LLC CurrentSince Apr 2, 2019 Accepting new patients
Schwartz Physical Therapy LLC CurrentSince Apr 13, 2021 Accepting new patients

Locations

211 S Indiana Ave
Englewood, FL 34223
Phone (941) 474-1558

2227 59th St W
Palma Sola, FL 34209
Phone (941) 795-5922

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1104019710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 CORTEZ RD W",
            "address_2": "STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103145",
            "telephone_number": "941-739-7828",
            "fax_number": "941-739-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 CORTEZ RD W",
            "address_2": "STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103145",
            "telephone_number": "941-739-7828",
            "fax_number": "941-739-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVIN",
        "first_name": "MICHELLE",
        "middle_name": "S",
        "credential": "PT DPT MHSC MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT7409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.