Organization Active NPI

W.G. Waldo Gutierrez Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1396909164
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
627560000 Issued in TX
Legal business name
W.G. WALDO GUTIERREZ PHYSICAL THERAPY INC.
Practice address
3462 S Alameda St
Corpus Christi, TX 78411-1720
Phone
(361) 854-9741
Fax
(361) 854-9742
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Mr. Waldo A. Gutierrez, PTNPI 1992866008
Title
Owner
Phone
(361) 854-9741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 627560000 TX Primary

Addresses

Primary practice location

3462 S Alameda St
Corpus Christi, TX 78411-1720

Mailing address

3462 S Alameda St
Corpus Christi, TX 78411-1720
Phone (361) 854-9741

National Provider Directory

National Provider Directory

Locations

3462 S Alameda St
Corpus Christi, TX 78411
Phone (361) 853-5678

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1396909164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3462 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111720",
            "telephone_number": "361-854-9741",
            "fax_number": "361-854-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3462 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111720",
            "telephone_number": "361-854-9741",
            "fax_number": "361-854-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.G. WALDO GUTIERREZ PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "WALDO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-854-9741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "627560000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.