John Paul Guidarelli, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501005904 Issued in MI

Practice address

St. Mary's of Michigan
9900 Birch Run Road
Birch Run, MI 48415

Phone

(989) 624-1518

Fax

(989) 624-1595

NPI assigned

Mar 2, 2018

Last updated

Mar 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1508368903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST. MARY'S OF MICHIGAN",
            "address_2": "9900 BIRCH RUN ROAD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "48415",
            "telephone_number": "989-624-1518",
            "fax_number": "989-624-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. MARY'S OF MICHIGAN",
            "address_2": "9900 BIRCH RUN ROAD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "48415",
            "telephone_number": "989-624-1518",
            "fax_number": "989-624-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDARELLI",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501005904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Birch Run, MI
• Providers in Birch Run, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.