Mallory Gutierrez, PT, DPT, PCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09570R Issued in LA

Practice address

8300 Earhart Blvd
New Orleans, LA 70118-4428

Phone

(504) 866-6990

NPI assigned

Sep 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Crane Rehab Center LLC

  • Clinic/Center
  • Jefferson, LA
  • NPI 1699777961
  Medicare reassignment NPD
• Crane Rehab Center

  • Occupational Therapist
  • Metairie, LA
  • NPI 1649517723
  NPD (past)
• Crane Rehab Center LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1457860777
  NPD (past)
• Crane Rehab Center LLC

  • Behavior Analyst
  • New Orleans, LA
  • NPI 1861954893

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505001600000",
    "number": "1376062430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 JANICE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 EARHART BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184428",
            "telephone_number": "504-866-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MALLORY",
        "credential": "PT, DPT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2017-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "LA",
            "license": "09570R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09570R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Guthrie
• Greer Guthrie
• Richard D Guthrie, MD
• Paola Gutierrez Gallegos, MD
• Amanda Bienvenu Gutierrez, NP
• Raquel Gutierrez, PHD
• Raymond Joseph Gutierrez, NP
• Lillian Mae Guttuso
• Barry Guy Jr.
• Stephanie Guzman, M.D.

• Physical Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.