Individual provider Active NPI

Christopher Ruiz Guerrero, DPT

  • Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1124599428
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34026 Issued in FL
Practice address
1780 NW 104TH Ave
Coral Springs, FL 33071-6501
Phone
(305) 801-6625
Fax
(754) 241-5342
NPI assigned
Dec 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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 PT34026 FL Primary

Addresses

Primary practice location

1780 NW 104TH Ave
Coral Springs, FL 33071-6501

Mailing address

1780 NW 104TH Ave
Coral Springs, FL 33071-6501
Phone (305) 801-6625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422001274 FL Practitioner - Physical Therapist in Private Practice 8628310778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cande Therapy LLCGroup PAC ID 5597146027, 2 clinicians

Practice addresses (Care Compare)

Coral Springs, FL 33071
Phone (305) 801-6625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C&E Therapy LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

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": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1124599428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NW 104TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716501",
            "telephone_number": "305-801-6625",
            "fax_number": "754-241-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NW 104TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716501",
            "telephone_number": "305-801-6625",
            "fax_number": "754-241-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "CHRISTOPHER",
        "middle_name": "RUIZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-11",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.