Active NPI
Daniel E Guzman, PTA
- Physical Therapy Assistant
- Davie, FL
National Provider Identifier
1659673234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 22428
- Practice address
- 11870 W State Road 84
C3
Davie, FL 33325-3816 - Phone
- (305) 405-0400
- NPI assigned
- Dec 2, 2010
- Sex
- Male
- 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 Therapy Assistant | 225200000X | PTA 22428 | FL | Primary |
Addresses
Primary practice location
11870 W State Road 84
C3
Davie, FL 33325-3816
Mailing address
16249 Biscayne Blvd
Aventura, FL 33160-4300
Phone (305) 405-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887989300 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 22428 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1659673234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16249 BISCAYNE BLVD",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331604300",
"telephone_number": "305-405-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11870 W STATE ROAD 84",
"address_2": "C3",
"city": "DAVIE",
"state": "FL",
"postal_code": "333253816",
"telephone_number": "305-405-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "DANIEL",
"middle_name": "E",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-02",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 22428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887989300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.