Active NPI
Jonathan N Guzman, OT
- Occupational Therapist
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119006600
- Practice address
- 2841 Hartland Rd Ste 403
Falls Church, VA 22043-3500 - Phone
- (703) 646-2250
- Fax
- (703) 991-5649
- NPI assigned
- Sep 25, 2016
- Last updated
- Jul 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119006600 | VA | Primary |
Addresses
Primary practice location
2841 Hartland Rd Ste 403
Falls Church, VA 22043-3500
Mailing address
41703 McMonagle SQ
Aldie, VA 20105-6028
Phone (703) 646-2250
Other practice location 1
46090 Lake Center Plz Ste 303
Sterling, VA 20165-5879
Phone (571) 771-3130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Howard University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952
Phone (703) 237-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119006600 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Allied Health Solutions LLC | Occupational Therapist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients |
Locations
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
2841 Hartland Rd
Ste 403
Falls Church, VA 22043
Phone (703) 646-2250
46090 Lake Center Plz
Ste 303
Sterling, VA 20165
Phone (571) 771-3130
Organizations & group practices 4
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.
-
dba Kaiser Permanente Annapolis Medical Center
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
- Physical Therapist
- Falls Church, VA
- NPI 1720453517
DC, Occupational Therapist
-
dba Kaiser Permanente Capitol Hill Medical Center
- Health Maintenance Organization
- Washington, DC
- NPI 1093016933
-
dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1366991960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41703 MCMONAGLE SQ",
"city": "ALDIE",
"state": "VA",
"postal_code": "201056028",
"telephone_number": "703-646-2250",
"fax_number": "703-991-5649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 HARTLAND RD STE 403",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220433500",
"telephone_number": "703-646-2250",
"fax_number": "703-991-5649"
}
],
"practiceLocations": [
{
"address_1": "46090 Lake Center Plz Ste 303",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "VA",
"postal_code": "201655879",
"country_code": "US",
"telephone_number": "571-771-3130",
"fax_number": "703-991-5649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN",
"first_name": "JONATHAN",
"middle_name": "N",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-25",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.