Individual provider Active NPI

Guillermo Jose Paiz

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1154911709
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1330146 Issued in TX
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

Updated by the provider on Jan 19, 2021

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 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

LicenseStateTypeSpecialty
1330146TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Physical Therapy, Inc Physical Therapist PastSince Nov 15, 2020 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.

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.

Verify at the official NPI Registry.