Stephanie Airelle Castillo Gusi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013792 Issued in GA

Practice address

5300 Zebulon Rd
Macon, GA 31210-2199

Phone

(478) 405-4500

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1235859190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SHERATON DR APT 325",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101335",
            "telephone_number": "706-537-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ZEBULON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102199",
            "telephone_number": "478-405-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Sheraton Dr Apt 325",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312101335",
            "country_code": "US",
            "telephone_number": "706-537-1822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSI",
        "first_name": "STEPHANIE AIRELLE",
        "middle_name": "CASTILLO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Benjamin Guedes
• Joyce Poole Gunn, RN 033806 NP
• Manmohan Gupta, M.D.
• Raj R Gupta, MD
• Raj R Gupta, M.D.
• Clayton Walter Guthrie III, PA-C
• Lesly Isabel Gutierrez
• Alicia Sherise Guy, DDS
• Aleksandre Gvetadze, MD
• Michelle S Gwyn

• Physical Therapist in Macon, GA
• Providers in Macon, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.