Active NPI
Guillermo Jose Paiz
- Physical Therapist
- Fort Collins, CO
National Provider Identifier
1154911709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1330146
- Practice address
- 2121 E Harmony Rd Unit 310
Fort Collins, CO 80528-3403 - Phone
- (970) 689-3236
- NPI assigned
- Jan 19, 2021
- Sex
- Male
- 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 Therapist | 225100000X | 1330146 | TX | Primary |
Addresses
Primary practice location
2121 E Harmony Rd Unit 310
Fort Collins, CO 80528-3403
Mailing address
228 Monroe CT
Azusa, CA 91702-1486
Phone (626) 297-4416
Other practice location 1
111 W South 1st St Unit A
Johnstown, CO 80534-9232
Phone (970) 460-0066
Other practice location 2
2929 Ross Dr Apt R72
Fort Collins, CO 80526-6650
Phone (917) 680-6604
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1330146 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Johnstown, CO
- NPI 1023610763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1154911709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 MONROE CT",
"city": "AZUSA",
"state": "CA",
"postal_code": "917021486",
"telephone_number": "626-297-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD UNIT 310",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283403",
"telephone_number": "970-689-3236"
}
],
"practiceLocations": [
{
"address_1": "111 W South 1st St Unit A",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "CO",
"postal_code": "805349232",
"country_code": "US",
"telephone_number": "970-460-0066",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2929 Ross Dr Apt R72",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805266650",
"country_code": "US",
"telephone_number": "917-680-6604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAIZ",
"first_name": "GUILLERMO",
"middle_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1330146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.