Individual provider Active NPI

Maria Trina Guzman Slatton, RPT

  • Physical Therapist
  • Canton, GA
National Provider Identifier
1497323463
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007891
Practice address
240 Marietta Hwy
Canton, GA 30114-2311
Phone
(770) 720-0290
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007891 Primary

Addresses

Primary practice location

240 Marietta Hwy
Canton, GA 30114-2311

Mailing address

240 Marietta Hwy
Canton, GA 30114-2311
Phone (770) 720-0290

Other practice location 1

4940 Jot Em Down Rd
Cumming, GA 30041-3004
Phone (770) 887-2000

Other names 1

  • Maria Trina Guzman San Jose Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220406000504 GA Practitioner - Physical Therapist in Private Practice 4789070483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Georgia, LLCGroup PAC ID 4284063835, 80 clinicians

Practice addresses (Care Compare)

125 Riverstone Ter
Canton, GA 30114-5218
Phone (470) 682-4470

294 Rope Mill Rd
Woodstock, GA 30188-2612
Phone (470) 706-9237

4580 Towne Lake Pkwy
Woodstock, GA 30189-5521
Phone (770) 609-3372

5610 Hampton Park Dr
Cumming, GA 30041-4004
Phone (470) 866-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
SNH SE Tenant TRS, Inc CurrentSince Jun 12, 2022 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Mar 8, 2022 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
Five Star Rehabilitation and Wellness Services, LLC Physical Therapist PastSince Jun 22, 2021 Accepting new patients

Locations

240 Marietta Hwy
Canton, GA 30114
Phone (770) 720-0290

4940 Jot Em Down Rd
Cumming, GA 30041
Phone (678) 358-6200

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1497323463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MARIETTA HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142311",
            "telephone_number": "770-720-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MARIETTA HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142311",
            "telephone_number": "770-720-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Jot Em Down Rd",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300413004",
            "country_code": "US",
            "telephone_number": "770-887-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATTON",
        "first_name": "MARIA TRINA",
        "middle_name": "GUZMAN",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT007891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA TRINA",
            "last_name": "SAN JOSE",
            "middle_name": "GUZMAN",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.