Individual provider Active NPI

Michelle A Guancione, DPT

  • Physical Therapist
  • Vero Beach, FL
National Provider Identifier
1609176619
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01368800 Issued in NJ
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20191101000312 FL Practitioner - Physical Therapist in Private Practice 8628300159 Reassigns benefits to 1 organization

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
Marcus Malone MD LLCGroup PAC ID 8022378744, 3 clinicians

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 100Reported as group
Quality
78.98
Promoting interoperability
76
Improvement activities
40
Cost
66.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01368800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Malone, M.D., LLC CurrentSince Oct 14, 2019 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.