Guadalupe Villa, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

48900 Issued in CA

Practice address

903 Calle Amanecer Ste 200
San Clemente, CA 92673-6252

Phone

(949) 388-6552

NPI assigned

Aug 31, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fullmotion Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Juan Capistrano, CA
  • NPI 1831357367
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1578081337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PAULARINO AVE APT M211",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CALLE AMANECER STE 200",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736252",
            "telephone_number": "949-388-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "GUADALUPE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Neal Pediatrics
• Vaughn Sun Inc.
• Vedanta Laboratories, Inc
• Jonathan Verstegen
• Karen Sue Vesely, LMFT
• Patrick Jason Viola, OTR/L
• John Allen Virag, DC
• Anna Visser
• John Robert Vogt, D.C.
• Seema Wadhwani, PTA

• Physical Therapy Assistant in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.