Individual provider Active NPI

Annette Marie Gabonay Guzman, OTR

  • Pediatric Occupational Therapist
  • Sugar Land, TX
National Provider Identifier
1518435346
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
109338 Issued in TX
Practice address
15400 Southwest Fwy # 310
Sugar Land, TX 77478-3875
Phone
(832) 828-1800
NPI assigned
Nov 9, 2018
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 109338 TX Primary

Addresses

Primary practice location

15400 Southwest Fwy # 310
Sugar Land, TX 77478-3875

Mailing address

903 Tyler Run
Sugar Land, TX 77479-5198
Phone (281) 793-6255

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

State licenses

LicenseStateTypeSpecialty
109338TXMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1518435346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 TYLER RUN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795198",
            "telephone_number": "281-793-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 SOUTHWEST FWY # 310",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783875",
            "telephone_number": "832-828-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABONAY GUZMAN",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "109338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.