Individual provider Active NPI

Guillermo Antonio Ortiz Machuca

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1346909561
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP057844T Issued in MD
Practice address
10700 Charter Dr Ste 205
Columbia, MD 21044-3687
Phone
(443) 546-1575
NPI assigned
Dec 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT301812 CA
Orthopedic Physical Therapist 2251X0800X P22127 NC
Physical Therapist 225100000X CP024167T VA
Physical Therapist 225100000X CP057844T MD Primary
Physical Therapist 225100000X

Addresses

Primary practice location

10700 Charter Dr Ste 205
Columbia, MD 21044-3687

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

54 Franklin St
Weyers Cave, VA 24486-2347
Phone (540) 234-8800

Other practice location 2

9333 Imperial Hwy
Downey, CA 90242-2812
Phone (562) 657-9000

Other practice location 3

77 Market St Ste B
Palmyra, VA 22963-4687
Phone (434) 510-7301

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241104000119 VA Practitioner - Physical Therapist in Private Practice 4183011539 Reassigns benefits to 4 organizations
I20260617003241 MD Practitioner - Physical Therapist in Private Practice 4183011539

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6201 Greenleigh Ave
Middle River, MD 21220-2004

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP057844TMDMDPhysical Therapist
CP024167TVAMDPhysical Therapist
PT301812CAMDOrthopedic Physical Therapist
P22127NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Virginia, LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

26106 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0274

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200

4011B Wards Rd
Lynchburg, VA 24502
Phone (434) 284-7894

77 Market St
Ste B
Palmyra, VA 22963
Phone (434) 245-6472

4165 Quarles Ct
#1
Rockingham, VA 22801
Phone (540) 437-7585

54 Franklin St
Weyers Cave, VA 24486
Phone (540) 234-8800

Organizations & group practices 8

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": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1346909561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 205",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443687",
            "telephone_number": "443-546-1575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Weyers Cave",
            "state": "VA",
            "postal_code": "244862347",
            "country_code": "US",
            "telephone_number": "540-234-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9333 Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902422812",
            "country_code": "US",
            "telephone_number": "562-657-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Market St Ste B",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "VA",
            "postal_code": "229634687",
            "country_code": "US",
            "telephone_number": "434-510-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ MACHUCA",
        "first_name": "GUILLERMO",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-15",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT301812",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P22127",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP024167T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "CP057844T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9333 Imperial Hwy",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.