Gionn Ryu K Buenavides, PT, DPT
Individual provider Active NPI Physical Therapist · Tamuning, GU
NPI 1134083959 · NPPES record last updated Dec 28, 2025
Key facts
- NPI
- 1134083959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-193 (GU)
- Practice address
- 643 Chalan San Antonio Ste 108
Tamuning, GU 96913-3644 - Phone
- (671) 735-8000
- NPI assigned
- Dec 15, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
170 Chichirica St
Dededo, GU 96929
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260107002623 | GU | Practitioner - Physical Therapist in Private Practice | 6305322686 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-193 | GU | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newgen Aesthetics & Wellness, LLC | Physical Therapist | Current |
Accepting new patients |
| Newgen Aesthetics & Wellness, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
643 Chalan San Antonio
Ste 108
Tamuning, GU 96913
Phone (671) 735-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-193 | GU | Yes |
Addresses
Primary practice location
643 Chalan San Antonio Ste 108
Tamuning, GU 96913-3644
Mailing address
643 Chalan San Antonio Ste 108
Tamuning, GU 96913-3644
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.