Individual provider Active NPI

Camille De Guzman

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1467269746
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61629206 Issued in WA
Practice address
334 E Bay St Unit J
Charleston, SC 29401-1592
Phone
(843) 203-6562
NPI assigned
Dec 11, 2024
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 CP052098T SC
Physical Therapist 225100000X PT61629206 WA Primary

Addresses

Primary practice location

334 E Bay St Unit J
Charleston, SC 29401-1592

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2600 SW Barton St Ste D3
Seattle, WA 98126-4052
Phone (206) 573-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241218002217 WA Practitioner - Physical Therapist in Private Practice 6608303441 Reassigns benefits to 1 organization
I20260220003876 SC Practitioner - Physical Therapist in Private Practice 6608303441 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians
Fox Rehabilitation Services of South Carolina, LLCGroup PAC ID 3971639998, 289 clinicians

Practice addresses (Care Compare)

1672 N Main St
Suite 11
Summerville, SC 29486-7811
Phone (843) 289-1456

2600 SW Barton St
Suite D3
Seattle, WA 98126-4052
Phone (206) 573-5074

334 E Bay St
Unit J
Charleston, SC 29401-1592
Phone (843) 203-6562

800 N Lake Dr
Lexington, SC 29072-2903
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP052098TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Dec 4, 2024 Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Dec 4, 2024 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

2600 SW Barton St
Ste D3
Seattle, WA 98126
Phone (206) 573-5074

Organizations & group practices 7

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": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1467269746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E BAY ST UNIT J",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011592",
            "telephone_number": "843-203-6562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 SW Barton St Ste D3",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981264052",
            "country_code": "US",
            "telephone_number": "206-573-5074",
            "fax_number": "206-336-7319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP052098T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61629206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.