Active NPI
Mary Grace Guevarra, P.T.
- Physical Therapist
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32582
- Practice address
- 2211 W Magnolia Blvd Ste 160
Burbank, CA 91506-1757 - Phone
- (818) 876-4195
- Fax
- (818) 729-0410
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 32582 | CA | |
| Physical Therapist | 225100000X | 32582 | CA | Primary |
Addresses
Primary practice location
2211 W Magnolia Blvd Ste 160
Burbank, CA 91506-1757
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone (626) 403-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32582 | Other | CA | CA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2211 W Magnolia Blvd
Suite 160
Burbank, CA 91506-1757
Phone (661) 284-3155
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.39 of 100
- Quality
- 87.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32582 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| PT RN Care Inc | Physical Therapist | Past | Accepting new patients |
| The Regents of the University of California | Past | Accepting new patients |
Locations
2211 W Magnolia Blvd
Ste 160
Burbank, CA 91506
Phone (818) 876-4195
1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 59755
Los Angeles, CA 90074
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1891110888
-
- Durable Medical Equipment & Medical Supplies
- Woodland Hills, CA
- NPI 1083063127
-
- Physical Therapist
- Los Angeles, CA
- NPI 1013937515
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1386776144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 W MAGNOLIA BLVD STE 160",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061757",
"telephone_number": "818-876-4195",
"fax_number": "818-729-0410"
}
],
"practiceLocations": [
{
"address_1": "1017 S Fair Oaks Ave",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911052621",
"country_code": "US",
"telephone_number": "626-403-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUEVARRA",
"first_name": "MARY",
"middle_name": "GRACE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "32582",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "32582",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.