Individual provider Active NPI

Aissa Maria McGuirl, DPT CSCS

  • Physical Medicine & Rehabilitation Physician
  • Ellington, CT
National Provider Identifier
1346765922
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
11475 Issued in CT
Practice address
89 West Rd Unit 2B
Ellington, CT 06029-3718
Phone
(860) 896-0538
NPI assigned
Aug 4, 2017
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 11475 CT Primary

Addresses

Primary practice location

89 West Rd Unit 2B
Ellington, CT 06029-3718

Mailing address

21756 State Road 54
Ste 102
Lutz, FL 33549-2905
Phone (727) 475-5540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220114002290 FL Practitioner - Physical Therapist in Private Practice 0244622652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC CurrentSince Nov 24, 2025 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc Past Accepting new patients
Gulf Breeze Physical Therapy Inc. Past Accepting new patients

Locations

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1346765922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21756 STATE ROAD 54",
            "address_2": "STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492905",
            "telephone_number": "727-475-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 WEST RD UNIT 2B",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293718",
            "telephone_number": "860-896-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRL",
        "first_name": "AISSA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "DPT CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "11475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.