Individual provider Active NPI

Richard Joseph Guzman, PT

  • Physical Therapist
  • Grand Prairie, TX
National Provider Identifier
1336150143
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1033983 Issued in TX
Practice address
2100 N State Highway 360 Ste 2201
Grand Prairie, TX 75050-1043
Phone
(888) 997-2669
Fax
(972) 641-0054
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1033983 TX Primary

Addresses

Primary practice location

2100 N State Highway 360 Ste 2201
Grand Prairie, TX 75050-1043

Mailing address

2100 N State Highway 360 Ste 2201
Grand Prairie, TX 75050-1043
Phone (888) 997-2669

Other identifiers 1

IdentifierTypeStateIssuer
8T6170OtherTXBCBS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metrocrest Orthopaedics & Sports Medicine Past Accepting new patients
Interventional and Vascular Care Inc Past 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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336150143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N STATE HIGHWAY 360 STE 2201",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501043",
            "telephone_number": "888-997-2669",
            "fax_number": "972-641-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N STATE HIGHWAY 360 STE 2201",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501043",
            "telephone_number": "888-997-2669",
            "fax_number": "972-641-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1033983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T6170",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.