Antonio Guisadio, PT
Individual provider Active NPI Physical Therapist · Jefferson Cty, TN
NPI 1144848573 · NPPES record last updated Jul 13, 2020
Key facts
- NPI
- 1144848573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3127 (TN)
- Practice address
- 1123 N Chucky Pike
Jefferson Cty, TN 37760-4851 - Phone
- (865) 475-6930
- NPI assigned
- Jul 13, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3127 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morristown-Hamblen Homecare and Hospice, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 3127 | TN | Yes |
Addresses
Primary practice location
1123 N Chucky Pike
Jefferson Cty, TN 37760-4851
Mailing address
2021 N Sizer Ave Apt 255
Jefferson Cty, TN 37760-5142
Phone (865) 454-5440
Other providers in Jefferson Cty, TN
- Philip Charles Naglitch
- Nuview Health Tennessee, PC
- Kali Renee Rutherford
- Signature Living of Jefferson City, LLC
- Tiffany Jackson Teague
All providers in Jefferson Cty, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.