Individual provider Active NPI

Michael Guthrie, MD

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
National Provider Identifier
1295733301
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD066100L Issued in PA
Practice address
9523 Bustleton Ave
Philadelphia, PA 19115-3801
Phone
(215) 710-8994
Fax
(267) 428-6457
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD066100L PA Primary

Addresses

Primary practice location

9523 Bustleton Ave
Philadelphia, PA 19115-3801

Mailing address

9523 Bustleton Ave
Philadelphia, PA 19115-3801
Phone (215) 710-8994

Other identifiers 1

IdentifierTypeStateIssuer
001932536000MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000598 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8123912581 Reassigns benefits to 3 organizations
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD066100LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Dec 5, 2022 Accepting new patients
Rehab Diagnostics and Pain Medicine Center, LLC Physical Medicine & Rehabilitation CurrentSince May 6, 2024 Accepting new patients
Spinal Care Pain Associates, P.C. CurrentSince Aug 1, 2018 Accepting new patients
Michael Guthrie MD PC Physical Medicine & Rehabilitation CurrentSince Aug 14, 2017 Accepting new patients
American Current Care P.a. CurrentSince Dec 5, 2022 Accepting new patients
American Current Care PA Current Accepting new patients
Delaware Valley Orthopedic & Spine Center, PC Past Accepting new patients
Rybicki Family Practice, PC Past Accepting new patients
United Therapy Centers, Inc. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

2410 S Broad St
Fl 3
Philadelphia, PA 19145
Phone (215) 462-6600

9523 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 671-1414

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 9

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1295733301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9523 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153801",
            "telephone_number": "215-710-8994",
            "fax_number": "267-428-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9523 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153801",
            "telephone_number": "215-710-8994",
            "fax_number": "267-428-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD066100L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001932536000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.