Individual provider Active NPI

Jennifer Porter Guadagno, PT, DPT

  • Physical Therapist
  • Concord, NH
National Provider Identifier
1346562030
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3234 Issued in NH
Practice address
20 Maitland St
Concord, NH 03301-3534
Phone
(603) 410-3211
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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 3234 NH Primary

Addresses

Primary practice location

20 Maitland St
Concord, NH 03301-3534

Mailing address

28 Jackson St
Concord, NH 03301-4472
Phone (603) 738-9907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116001403 NH Practitioner - Physical Therapist in Private Practice 0941738058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remote Telehealth Services, PAGroup PAC ID 9032514468, 11 clinicians

Practice addresses (Care Compare)

704 Dolly Rd
Hopkinton, NH 03229-2518
Phone (866) 333-8769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Remote Telehealth Services Texas, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Remote Telehealth Services Alaska LLC Past Accepting new patients

Locations

2555 Phillips Field Rd
Ste 100
Fairbanks, AK 99709
Phone (907) 328-2920

2555 Phillips Field Rd
Fairbanks, AK 99709
Phone (907) 328-2920

1228 Church St
Ste C
Sulphur Springs, TX 75482
Phone (512) 788-3402

Interoperability endpoints

  • Direct secure messaging: jennifer.guadagno.1@23654.direct.athenahealth.com

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1346562030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 JACKSON ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014472",
            "telephone_number": "603-738-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAITLAND ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013534",
            "telephone_number": "603-410-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADAGNO",
        "first_name": "JENNIFER",
        "middle_name": "PORTER",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.