Active NPI
Pascual Guerrero, D.P.T.
- Physical Therapist
- Whitestone, NY
National Provider Identifier
1174920136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038451
- Practice address
- 2142 Utopia Pkwy
Whitestone, NY 11357-4142 - Phone
- (718) 767-0610
- Fax
- (718) 767-0260
- NPI assigned
- Nov 19, 2014
- 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 | 038451 | NY | Primary |
Addresses
Primary practice location
2142 Utopia Pkwy
Whitestone, NY 11357-4142
Mailing address
333 Earle Ovington Blvd
Suite 225
Uniondale, NY 11553-3610
Phone (516) 321-2424
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 |
|---|---|---|---|
| 038451 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1174920136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EARLE OVINGTON BLVD",
"address_2": "SUITE 225",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115533610",
"telephone_number": "516-321-2424",
"fax_number": "516-321-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 UTOPIA PKWY",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113574142",
"telephone_number": "718-767-0610",
"fax_number": "718-767-0260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "PASCUAL",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-19",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.