Individual provider Active NPI

Dominick Joseph Guessford, P.T.A., A.T.C.

  • Athletic Trainer
  • Rising Sun, MD
National Provider Identifier
1669494753
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
223 East Main St
Suite B
Rising Sun, MD 21911
Phone
(410) 658-5500
Fax
(410) 658-3910
NPI assigned
Jul 24, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2855 MD
Athletic Trainer 2255A2300X MD Primary

Addresses

Primary practice location

223 East Main St
Suite B
Rising Sun, MD 21911

Mailing address

178 Cherry Tree LN
Elkton, MD 21921-5819
Phone (410) 620-2886

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
A2855MDMDPhysical Therapy Assistant
079802438MDMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates - Union Rehab LLC Past Accepting new patients
Physiotherapy Associates - Union Rehab LLC Past Accepting new patients

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669494753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 CHERRY TREE LN",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215819",
            "telephone_number": "410-620-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 EAST MAIN ST",
            "address_2": "SUITE B",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "21911",
            "telephone_number": "410-658-5500",
            "fax_number": "410-658-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUESSFORD",
        "first_name": "DOMINICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.T.A., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2855",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rising Sun, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.