Beau A. Guidroz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000008450 Issued in TN

Practice address

54 S Prescott St
Memphis, TN 38111-4619

Phone

(901) 257-3422

Fax

(901) 257-3423

NPI assigned

Aug 28, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Momentum Physical Rehabilitation, LLC

  • Physical Therapist
  • Memphis, TN
  • NPI 1639172653
  NPD (past)

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1609009356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CAMPBELL DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723648015",
            "telephone_number": "318-613-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 S PRESCOTT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114619",
            "telephone_number": "901-257-3422",
            "fax_number": "901-257-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDROZ",
        "first_name": "BEAU",
        "middle_name": "A.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000008450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Guetschow
• Jeffrey Guibelondo
• Guidance Motivational Counseling
• Guidestar Eldercare - TN, P.C.
• Guiding Star Memphis
• Chloe Caitlynn Guidry
• Phillip James Guidry, PHARM.D.
• Tommie Jo Guidry, PHARM.D.
• Enrique Guillermo, MD
• Christa Guillory Nionakis

• Physical Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.