Guam in-Home Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GUAM IN-HOME PHYSICAL THERAPY LLC

Practice address

210C Rivera Lane #307
Tumor, GU 96913

Phone

(671) 488-3130

NPI assigned

Jul 20, 2016

Last updated

Mar 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liwayway Janssen

Title

Owner

Phone

(671) 488-3130

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1669825063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 N. MARINE DRIVE PMB 435",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-488-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210C RIVERA LANE #307",
            "city": "TUMOR",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-488-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAM IN-HOME PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "LIWAYWAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "671-488-3130"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037169",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.