Active NPI
Gustavo Gutierrez Jr., PT
- Physical Therapist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15162
- Practice address
- 7911 NW 72 Ave
Suite 111
Miami, FL 33166 - Phone
- (305) 888-6959
- Fax
- (305) 593-2517
- NPI assigned
- Sep 5, 2012
- Last updated
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | PT15162 | FL | Primary |
Addresses
Primary practice location
7911 NW 72 Ave
Suite 111
Miami, FL 33166
Mailing address
7911 NW 72 Ave
Suite 111
Miami, FL 33166
Phone (305) 888-6959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1409 SW 107TH Ave
Miami, FL 33174-2509
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT15162 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| RCS Investment Enterprises, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Now Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
1409 SW 107th Ave
Miami, FL 33174
Phone (305) 974-1054
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Physical Therapy NOW FIU
- Physical Therapy Clinic/Center
- Miami, FL
- NPI 1588190987
Physical Therapist
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
dba Health Care Center of Miami
- Occupational Medicine Clinic/Center
- Medley, FL
- NPI 1316273675
-
dba Physical Therapy Now
- Clinic/Center
- Miami, FL
- NPI 1598063521
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1205185311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7911 NW 72 AVE",
"address_2": "SUITE 111",
"city": "MIAMI",
"state": "FL",
"postal_code": "33166",
"telephone_number": "305-888-6959",
"fax_number": "305-593-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7911 NW 72 AVE",
"address_2": "SUITE 111",
"city": "MIAMI",
"state": "FL",
"postal_code": "33166",
"telephone_number": "305-888-6959",
"fax_number": "305-593-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "GUSTAVO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT15162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.