Individual provider Active NPI

Janice Yasana De Guzman, RPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1457509929
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027925 Issued in NY
Practice address
523 E 78TH St
2B
New York, NY 10075-1132
Phone
(646) 409-3874
NPI assigned
Sep 8, 2008
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01303500 NJ
Physical Therapist 225100000X 027925 NY Primary

Addresses

Primary practice location

523 E 78TH St
2B
New York, NY 10075-1132

Mailing address

523 E 78TH St
2B
New York, NY 10075-1132
Phone (646) 409-3874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000097 NJ Practitioner - Physical Therapist in Private Practice 0749459931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

529 Goffle Rd
Wyckoff, NJ 07481-2937
Phone (844) 777-0910

543 45TH St
Union City, NJ 07087-2615
Phone (844) 777-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027925NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Medical Group, LLC Physical Therapist CurrentSince Oct 6, 2024 Accepting new patients
Rejuvenate Rehabilitation Center Past Accepting new patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients
Major Adjustments, Inc Physical Therapist PastSince Mar 20, 1997 Accepting new patients
Interventional Pain Management & Rehab. PC. Past Accepting new patients

Locations

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1457509929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E 78TH ST",
            "address_2": "2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751132",
            "telephone_number": "646-409-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E 78TH ST",
            "address_2": "2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751132",
            "telephone_number": "646-409-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "JANICE",
        "middle_name": "YASANA",
        "name_prefix": "Miss",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01303500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.

Verify at the official NPI Registry.