Active NPI
Michelle S Guevin, PT DPT MHSC MTC
- Physical Medicine & Rehabilitation Physician
- Bradenton, FL
National Provider Identifier
1104019710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT7409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7409 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manatee Medical Specialists LLC | Current | Accepting new patients | |
| Schwartz Physical Therapy LLC | Current | 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.
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1801801550
-
- Physical Therapist
- Englewood, FL
- NPI 1881187466
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.