Individual provider Active NPI

Melissa Guttuso

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1174139448
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32619 Issued in AZ
Practice address
6553 E Baywood Ave
Mesa, AZ 85206-1752
Phone
(480) 712-4600
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT298716 CA
Physical Therapist 225100000X 32619 AZ Primary

Addresses

Primary practice location

6553 E Baywood Ave
Mesa, AZ 85206-1752

Mailing address

2574 E Jasper Dr
Gilbert, AZ 85296-8914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230411002487 AZ Practitioner - Pain Management 1951776657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Spine and Sport Physical Therapy LLCGroup PAC ID 7214003276, 3 clinicians

Practice addresses (Care Compare)

3485 S Mercy Rd
Suite 101
Gilbert, AZ 85297-0429
Phone (480) 963-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT298716CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovia Physical Therapy, LLC Physical Therapist CurrentSince Feb 13, 2023 Accepting new patients
Spectrum Spine and Sport Physical Therapy LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients

Locations

3485 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 507-2044

6553 E Baywood Ave
Ste 209
Mesa, AZ 85206
Phone (480) 985-8478

19636 N 27th Ave
Ste 106
Phoenix, AZ 85027
Phone (480) 416-7200

Organizations & group practices 2

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1174139448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2574 E JASPER DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852968914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061752",
            "telephone_number": "480-712-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTUSO",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298716",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.