Active NPI
Amy Guilbault, DPT
- Physical Therapist
- Sun City, CA
National Provider Identifier
1609360700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294931
- Practice address
- 29650 Bradley Rd
Sun City, CA 92586-6521 - Phone
- (951) 672-0455
- NPI assigned
- Jun 21, 2018
- 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 | 294931 | CA | Primary |
Addresses
Primary practice location
29650 Bradley Rd
Sun City, CA 92586-6521
Mailing address
349 Borden Rd
San Marcos, CA 92069-5708
Phone (951) 603-4385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294931 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1609360700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 BORDEN RD",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920695708",
"telephone_number": "951-603-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29650 BRADLEY RD",
"city": "SUN CITY",
"state": "CA",
"postal_code": "925866521",
"telephone_number": "951-672-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILBAULT",
"first_name": "AMY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.