Charleen Monett Guevara Gately, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT291965 Issued in CA

Practice address

27141 Hidaway Ave
Suite 207
Santa Clarita, CA 91351-4131

Phone

(661) 424-9333

NPI assigned

Sep 8, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lurie Physical Therapy PCGroup PAC ID 2769648815, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lurie Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Encino, CA
  • NPI 1639443690

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Motion Pros Physical Therapy

  • Physical Therapy Clinic/Center
  • Santa Clarita, CA
  • NPI 1306039789
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1578010369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21112 ALAMINOS DR",
            "city": "SAUGUS",
            "state": "CA",
            "postal_code": "913501822",
            "telephone_number": "661-373-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "SUITE 207",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-424-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATELY",
        "first_name": "CHARLEEN",
        "middle_name": "MONETT GUEVARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Garibay
• Lisa A Garner, FNP-C
• Michelle Janet Garvin
• Emily Gasaway, ACSW
• Alexsandria Gaskill
• Deshawn Gatewood, PTA
• Leslie Gaunt
• Georgia Gayle
• Diane Gee
• Joanna George, MD

• Physical Therapist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.

Verify at the official NPI Registry.