Rebecca E Guilette, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2375-19 Issued in WI

Practice address

2253 W Mason St
Green Bay, WI 54303-4706

Phone

(920) 327-7216

NPI assigned

Apr 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1225618788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73041",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606737041",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034706",
            "telephone_number": "920-327-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILETTE",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2375-19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100161913",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Guenther, LPC-IT
• Tyler M Guenther, SAC-IT
• Brett J Guernsey, RPH
• Jill Anne Guernsey
• Jordan Young Guidry, CRNA
• Kristine Jane Guinter, PT
• Michael Warren Guiou, M.D.
• Diane Gulbrand, APNP-BC
• Cher Nicolle Gunderson, M.S., CCC-SLP
• Gabrielle Gunderson, DPT

• Physical Therapy Assistant in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.