Individual provider Active NPI

Nelson Guiang, DPT,PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1629458773
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1340679 Issued in TX
Practice address
11242 FM 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone
(281) 469-8163
Fax
(281) 469-5559
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 42555 CA
Physical Therapist 225100000X 1340679 TX Primary

Addresses

Primary practice location

11242 FM 1960 Rd W Ste 104
Houston, TX 77065-3635

Mailing address

11242 FM 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone (281) 469-8163

Other practice location 1

3626 E Chapman Ave
Orange, CA 92869-3847
Phone (714) 744-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180405000637 CA Practitioner - Physical Therapist in Private Practice 9335402312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impt IncGroup PAC ID 9335112762, 20 clinicians

Practice addresses (Care Compare)

17332 Von Karman Ave
Suite 120
Irvine, CA 92614-6282
Phone (949) 861-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42555CAMDPhysical Therapist
1340679TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Impt, Inc. Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
California Rehab & Sports Therapy CurrentSince May 24, 2021 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince May 24, 2021 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Intecore, Inc. Physical Therapist PastSince Apr 8, 2020 Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

12555 Lakewood Blvd
Ste D
Downey, CA 90242
Phone (562) 777-1333

17332 Von Karman Ave
Ste 120
Irvine, CA 92614
Phone (949) 861-8600

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1629458773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 FM 1960 RD W STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653635",
            "telephone_number": "281-469-8163",
            "fax_number": "281-469-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11242 FM 1960 RD W STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653635",
            "telephone_number": "281-469-8163",
            "fax_number": "281-469-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3626 E Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693847",
            "country_code": "US",
            "telephone_number": "714-744-4400",
            "fax_number": "714-744-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIANG",
        "first_name": "NELSON",
        "credential": "DPT,PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42555",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1340679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.