Active NPI
Guillermo Antonio Ortiz Machuca
- Physical Therapist
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP057844T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MD
Enrollment records 2
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 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP057844T | MD | MD | Physical Therapist |
| CP024167T | VA | MD | Physical Therapist |
| PT301812 | CA | MD | Orthopedic Physical Therapist |
| P22127 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Virginia, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer PT of VA LLC | Physical Therapist | Current | Accepting new patients |
| Drayer PT of VA LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of VA, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of VA, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | 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.
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- NPI 1649742016
-
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- NPI 1831514637
-
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- NPI 1457389595
-
- Physical Therapist
- Staunton, VA
- NPI 1871063925
-
- Physical Therapist
- Harrisonburg, VA
- NPI 1093130346
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
-
- Physical Therapist
- Stafford, VA
- NPI 1457947707
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.