Active NPI
Jennifer Porter Guadagno, PT, DPT
- Physical Therapist
- Concord, NH
National Provider Identifier
1346562030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3234
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remote Telehealth Services Texas, PLLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Fairbanks, AK
- NPI 1487479713
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.