Active NPI
Amethyst Guerrero, PT, DPT
- Physical Therapist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1295381
- Practice address
- 12411 Hymeadow Dr Ste Bldg3
Austin, TX 78750-1874 - Phone
- (512) 335-9300
- Fax
- (512) 335-9301
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1295381 | TX | Primary |
Addresses
Primary practice location
12411 Hymeadow Dr Ste Bldg3
Austin, TX 78750-1874
Mailing address
12411 Hymeadow Dr. Ste
BLDG 3 Ste 3B
Austin, TX 78750
Phone (512) 335-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, UT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
12411 Hymeadow Dr
Austin, TX 78750-1874
Phone (213) 898-2673
455 E 200
Suite 110
Salt Lake City, UT 84111-2156
Phone (213) 898-2673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Origin Physical Therapy FL PLLC | Physical Therapist | Current | Accepting new patients |
Locations
12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497
2712 Bee Caves Rd
Ste 122A
Austin, TX 78746
Phone (737) 234-9618
511 Oakwood Blvd
Ste 205
Round Rock, TX 78681
Phone (541) 610-5204
124 S 400 E
Ste 230
Salt Lake City, UT 84111
Phone (801) 597-5686
455 E 200 S
Ste 110
Salt Lake City, UT 84111
Phone (801) 359-4951
Organizations & group practices 1
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": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1538684337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12411 HYMEADOW DR. STE",
"address_2": "BLDG 3 STE 3B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78750",
"telephone_number": "512-335-9300",
"fax_number": "512-335-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12411 HYMEADOW DR STE BLDG3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501874",
"telephone_number": "512-335-9300",
"fax_number": "512-335-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "AMETHYST",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1295381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.