Active NPI
Chastity Guillory, PT, DPT, GCS
- Geriatric Physical Therapist
- Waxahachie, TX
National Provider Identifier
1154029981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1239623
- Practice address
- 2233 Windy Hill LN
Waxahachie, TX 75167-1279 - Phone
- (469) 387-9816
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 1239623 | TX | Primary |
Addresses
Primary practice location
2233 Windy Hill LN
Waxahachie, TX 75167-1279
Mailing address
2233 Windy Hill LN
Waxahachie, TX 75167-1279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1239623 | Other | TX | ECPTOTE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1239623 | TX | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1154029981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 WINDY HILL LN",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751671279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 WINDY HILL LN",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751671279",
"telephone_number": "469-387-9816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "CHASTITY",
"name_prefix": "Dr.",
"credential": "PT, DPT, GCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1239623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECPTOTE",
"identifier": "1239623",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.