Individual provider Active NPI

Gwen Lynn Espiritu Garrido, P.T.

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1538257381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1090595 Issued in TX
Practice address
8219 Ash Garden CT
Houston, TX 77083-6519
Phone
(281) 494-2774
Fax
(281) 494-2774
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1090595 TX Primary

Addresses

Primary practice location

8219 Ash Garden CT
Houston, TX 77083-6519

Mailing address

8219 Ash Garden CT
Houston, TX 77083-6519
Phone (281) 494-2774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000427 TX Practitioner - Physical Therapist in Private Practice 0840292330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients
Adaptive Rehabilitation Clinics, LLC Physical Therapist Past Accepting new patients

Locations

816 Everyday Way
Cibolo, TX 78108
Phone (210) 538-3812

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

Organizations & group practices 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538257381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8219 ASH GARDEN CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836519",
            "telephone_number": "281-494-2774",
            "fax_number": "281-494-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8219 ASH GARDEN CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836519",
            "telephone_number": "281-494-2774",
            "fax_number": "281-494-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "GWEN LYNN",
        "middle_name": "ESPIRITU",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1090595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.