Active NPI
Tina Mancini Gutierrez, P.T., D.P.T.
- Physical Therapist
- Weston, FL
National Provider Identifier
1194168708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 27685
- Practice address
- 3250 Meridian Pkwy
Weston, FL 33331-3502 - Phone
- (954) 659-5000
- NPI assigned
- Apr 12, 2013
- Sex
- Female
- 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 | PT 27685 | FL | Primary |
Addresses
Primary practice location
3250 Meridian Pkwy
Weston, FL 33331-3502
Mailing address
555 Enclave Cir W
Pembroke Pines, FL 33027-1205
Phone (954) 438-4896
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 |
|---|---|---|---|
| PT 27685 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1194168708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 ENCLAVE CIR W",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271205",
"telephone_number": "954-438-4896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 MERIDIAN PKWY",
"city": "WESTON",
"state": "FL",
"postal_code": "333313502",
"telephone_number": "954-659-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "TINA",
"middle_name": "MANCINI",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 27685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.