Individual provider Active NPI

Carol Alvis Guzman

  • Physical Therapist
  • Laredo, TX
National Provider Identifier
1245818079
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1331637 Issued in TX
Practice address
1505 Calle del Norte Ste 440
Laredo, TX 78041-6040
Phone
(956) 722-6221
Fax
(956) 722-6275
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1331637 TX Primary

Addresses

Primary practice location

1505 Calle del Norte Ste 440
Laredo, TX 78041-6040

Mailing address

1505 Calle del Norte Ste 440
Laredo, TX 78041-6040
Phone (956) 722-6221

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

LicenseStateTypeSpecialty
1331637TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pyra Med Health Services, LLC PastSince Apr 6, 2021 Accepting new patients
Back to Action Inc Physical Therapist PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1245818079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 CALLE DEL NORTE STE 440",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416040",
            "telephone_number": "956-722-6221",
            "fax_number": "956-722-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 CALLE DEL NORTE STE 440",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416040",
            "telephone_number": "956-722-6221",
            "fax_number": "956-722-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIS GUZMAN",
        "first_name": "CAROL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1331637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.