Kathleen J.P. Guardia, M.P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

19866 Issued in FL

Practice address

854 Shadowmoss Dr
Winter Garden, FL 34787-5258

Phone

(407) 461-1998

Fax

(407) 574-8599

NPI assigned

Jul 21, 2006

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

Practice roles

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.

• Pediatric Therapy Services of Greater Orlando, LLC

  • Occupational Therapist
  • Winter Garden, FL
  • NPI 1013926187
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265453971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 SHADOWMOSS DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875258",
            "telephone_number": "407-461-1998",
            "fax_number": "407-574-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 SHADOWMOSS DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875258",
            "telephone_number": "407-461-1998",
            "fax_number": "407-574-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDIA",
        "first_name": "KATHLEEN",
        "middle_name": "J.P.",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "19866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grounded Resilience Counseling, PLLC
• Growing Leaders ABA Academy, LLC
• Michelle Grubbs-Norman, B.S.
• Kerry Lyn Gruber Vella, PH.D.
• GSS Nationwide Inc.
• Cristian Fidel Guare, ARNP
• Thalia Boreland Guare
• Sarah Elisa Guerrero Chacon
• Jaclyn Ann Gunn, D.O.
• Rheya Evelyn Guptar, MHS, OTR/L

• Pediatric Physical Therapist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.