Active NPI
Michelle A Guancione, DPT
- Physical Therapist
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01368800
- Practice address
- 787 37TH St Ste E200
Vero Beach, FL 32960-7306 - Phone
- (772) 978-7808
- Fax
- (772) 978-9320
- NPI assigned
- Oct 25, 2010
- Last updated
- Aug 26, 2022
- 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 | 40QA01368800 | NJ | Primary |
Addresses
Primary practice location
787 37TH St Ste E200
Vero Beach, FL 32960-7306
Mailing address
787 37TH St Ste E200
Vero Beach, FL 32960-7306
Phone (772) 978-7808
Other practice location 1
787 37th St Ste E100
Vero Beach, FL 32960-7304
Phone (772) 978-7808
Other practice location 2
1199 Pleasant Valley Way
West Orange, NJ 07052-1424
Phone (973) 414-4755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
787 37TH St
Suite E200
Vero Beach, FL 32960-7306
Phone (772) 978-7808
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 78.98
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 66.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01368800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Malone, M.D., LLC | Current | Accepting new patients |
Locations
787 37th St
Ste E100
Vero Beach, FL 32960
Phone (772) 569-9747
787 37th St
Ste E200
Vero Beach, FL 32960
Phone (772) 567-3003
Interoperability endpoints
- michelle.guancione.1@12907.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Vero Beach, FL
- NPI 1306358320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1609176619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "787 37TH ST STE E200",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607306",
"telephone_number": "772-978-7808",
"fax_number": "772-978-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 37TH ST STE E200",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607306",
"telephone_number": "772-978-7808",
"fax_number": "772-978-9320"
}
],
"practiceLocations": [
{
"address_1": "787 37th St Ste E100",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329607304",
"country_code": "US",
"telephone_number": "772-978-7808",
"fax_number": "772-978-9320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1199 Pleasant Valley Way",
"address_purpose": "LOCATION",
"city": "West Orange",
"state": "NJ",
"postal_code": "070521424",
"country_code": "US",
"telephone_number": "973-414-4755",
"fax_number": "973-243-6842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUANCIONE",
"first_name": "MICHELLE",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01368800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.