Active NPI
Cynthia Gutierres-Check, OTR-L
- Specialist
- Casa Grande, AZ
National Provider Identifier
1669512638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3076
- Practice address
- 1362 N Casa Grande Ave
Casa Grande, AZ 85222-2648 - Phone
- (520) 316-3303
- Fax
- (520) 316-3352
- NPI assigned
- Feb 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 3076 | AZ | Primary |
Addresses
Primary practice location
1362 N Casa Grande Ave
Casa Grande, AZ 85222-2648
Mailing address
11956 E Rhea Rd
Florence, AZ 85232-9461
Phone (602) 909-2406
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3076 | Other | AZ | OT LICENSE NUMBER |
| 776023 | Medicaid | AZ |
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 |
|---|---|---|---|
| 3076 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wing Neurological Rehabilitation | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1801840897
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669512638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11956 E RHEA RD",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "852329461",
"telephone_number": "602-909-2406",
"fax_number": "520-723-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1362 N CASA GRANDE AVE",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852222648",
"telephone_number": "520-316-3303",
"fax_number": "520-316-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERRES-CHECK",
"first_name": "CYNTHIA",
"credential": "OTR-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "3076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE NUMBER",
"identifier": "3076",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "776023",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.