Edgar Cardenas Guillen, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61103454 Issued in WA

Practice address

1550 NE Riddell Rd Ste 170
Bremerton, WA 98310-3060

Phone

(360) 474-3274

Fax

(360) 824-6720

NPI assigned

May 2, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Calexico, CA
  • NPI 1851347686
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1376108589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NE RIDDELL RD STE 170",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103060",
            "telephone_number": "760-412-0091",
            "fax_number": "360-824-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NE RIDDELL RD STE 170",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103060",
            "telephone_number": "360-474-3274",
            "fax_number": "360-824-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "EDGAR",
        "middle_name": "CARDENAS",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61103454",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019030009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kashina Groves, ARNP
• Shaylee Groves
• Julia Laura Gruner, M.S. CCC-SLP
• Eric Thomas Grunow, D.M.D.
• Karen Gudmundsson
• Layla A Guillen, PT DPT
• Toni Ann Guinn, CMA
• Breanna Laura Gulati, FNP-C
• Jewel Gummer
• Mark William Gunion

• Physical Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.