Individual provider Active NPI

Evelyn Martinez-Guy, PT, MS

  • Case Manager/Care Coordinator
  • Lawrenceville, GA
National Provider Identifier
1497340301
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1363 Penhurst Dr
Lawrenceville, GA 30043-8163
Phone
(770) 329-6984
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1363 Penhurst Dr
Lawrenceville, GA 30043-8163

Mailing address

1363 Penhurst Dr
Lawrenceville, GA 30043-8163
Phone (770) 329-6984

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Evelyn.Martinez.Guy@protonmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1497340301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 PENHURST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438163",
            "telephone_number": "770-329-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 PENHURST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438163",
            "telephone_number": "770-329-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-GUY",
        "first_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "PT, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Evelyn.Martinez.Guy@protonmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1363 Penhurst Dr",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300438163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.