Vincent V Guevara-Villamarin, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

215737 Issued in TX

Practice address

2355 Lebanon Rd Apt 12107
Frisco, TX 75034-6146

Phone

(973) 856-1588

NPI assigned

Jun 20, 2019

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

Electronic endpoints 1

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1548820673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 LEBANON RD APT 12107",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346146",
            "telephone_number": "973-856-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 LEBANON RD APT 12107",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346146",
            "telephone_number": "973-856-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA-VILLAMARIN",
        "first_name": "VINCENT",
        "middle_name": "V",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2355 Lebanon Rd Apt 12107",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750346146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• GTR Medical Group, LLC
• Guardian Medical Service LLC
• Jaidyn Guerra
• Rogelio Guerra, CSFA
• Chad Guetersloh, M.D.
• Orquidania Guevara, COTA
• Kayla Guice, OTD, OTR
• Kami Guidry, MS, LMFT
• Meghan Guiette
• Jennifer Kelly Guillette, MA, NCC, LPC-S

• Occupational Therapy Assistant in Frisco, TX
• Providers in Frisco, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.