Individual provider Active NPI

Kathrina Jesy Ann Guarin Gacot, PT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1366255143
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307517 Issued in CA
Practice address
150 Palm Valley Blvd Apt 1150
San Jose, CA 95123-1062
Phone
(806) 776-8563
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 050057 NY
Physical Therapist 225100000X 307517 CA Primary

Addresses

Primary practice location

150 Palm Valley Blvd Apt 1150
San Jose, CA 95123-1062

Mailing address

150 Palm Valley Blvd Apt 1150
San Jose, CA 95123-1062
Phone (806) 776-8563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211003670 CA Practitioner - Physical Therapist in Private Practice 3870023427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbells Premier Physical Therapy IncGroup PAC ID 9739570078, 4 clinicians

Practice addresses (Care Compare)

163 E Hamilton Ave
Campbell, CA 95008-0245
Phone (408) 866-5567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307517CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell's Premier Physical Therapy, Inc Physical Therapist CurrentSince Jan 27, 2025 Accepting new patients

Locations

163 E Hamilton Ave
Campbell, CA 95008
Phone (408) 866-5567

Organizations & group practices 1

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1366255143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PALM VALLEY BLVD APT 1150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231062",
            "telephone_number": "806-776-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PALM VALLEY BLVD APT 1150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231062",
            "telephone_number": "806-776-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACOT",
        "first_name": "KATHRINA JESY ANN",
        "middle_name": "GUARIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050057",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.