Individual provider Active NPI

Dennis Gutierrez, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1629293832
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4009 Issued in NV
Practice address
8301 W Flamingo Rd Apt 1037
Las Vegas, NV 89147-4137
Phone
(862) 219-9847
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01233400 NJ
Physical Therapist 225100000X 4009 NV Primary

Addresses

Primary practice location

8301 W Flamingo Rd Apt 1037
Las Vegas, NV 89147-4137

Mailing address

8301 W Flamingo Rd Apt 1037
Las Vegas, NV 89147-4137
Phone (862) 219-9847

Other practice location 1

375 Mount Pleasant Ave
West Orange, NJ 07052-2750
Phone (973) 969-3434

Other practice location 2

169 Minnisink Rd
North Jersey Developmental Center
Totowa, NJ 07512-1803
Phone (973) 890-4560

Other practice location 3

57 Williamson Ave
Bloomfield, NJ 07003-5004
Phone (862) 219-9847

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01233400NJMDPhysical Therapist
4009NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Gutierrez LLC CurrentSince Oct 11, 2020 Accepting new patients
Scoliosis Basics, LLC CurrentSince Apr 25, 2021 Accepting new patients
Therapy Blocks L.L.C. Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1629293832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 W FLAMINGO RD APT 1037",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474137",
            "telephone_number": "862-219-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 W FLAMINGO RD APT 1037",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474137",
            "telephone_number": "862-219-9847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Mount Pleasant Ave",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070522750",
            "country_code": "US",
            "telephone_number": "973-969-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Minnisink Rd",
            "address_2": "North Jersey Developmental Center",
            "address_purpose": "LOCATION",
            "city": "Totowa",
            "state": "NJ",
            "postal_code": "075121803",
            "country_code": "US",
            "telephone_number": "973-890-4560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Williamson Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NJ",
            "postal_code": "070035004",
            "country_code": "US",
            "telephone_number": "862-219-9847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01233400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.