Active NPI
Anna Guardado
- Physical Therapy Assistant
- Conroe, TX
National Provider Identifier
1346971652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2118943
- Practice address
- 604 S Conroe Medical Dr
Conroe, TX 77304-4722 - Phone
- (936) 494-6600
- NPI assigned
- Jun 19, 2022
- 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 Therapy Assistant | 225200000X | 2118943 | TX | Primary |
Addresses
Primary practice location
604 S Conroe Medical Dr
Conroe, TX 77304-4722
Mailing address
14711 Turquoise TRL
Willis, TX 77378-6601
Phone (832) 768-1297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2118943 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655596800000",
"number": "1346971652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14711 TURQUOISE TRL",
"city": "WILLIS",
"state": "TX",
"postal_code": "773786601",
"telephone_number": "832-768-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 S CONROE MEDICAL DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773044722",
"telephone_number": "936-494-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUARDADO",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-19",
"last_updated": "2022-06-19",
"certification_date": "2022-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2118943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.