Individual provider Active NPI

Aimee Catherine Guarriello, PT, OCS, CSCS

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1689703944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4508 Issued in OR
Practice address
1610 SE Glenwood St
Portland, OR 97202-5615
Phone
(503) 230-1744
Fax
(503) 230-1745
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4508 OR Primary

Addresses

Primary practice location

1610 SE Glenwood St
Portland, OR 97202-5615

Mailing address

1506 SE Yukon St
Portland, OR 97202-5318
Phone (503) 753-5639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000271 OR Practitioner - Physical Therapist in Private Practice 8325949555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6404 SE Milwaukie Ave
Portland, OR 97202-5518
Phone (503) 230-1744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689703944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 SE YUKON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025318",
            "telephone_number": "503-753-5639",
            "fax_number": "503-230-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 SE GLENWOOD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025615",
            "telephone_number": "503-230-1744",
            "fax_number": "503-230-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARRIELLO",
        "first_name": "AIMEE",
        "middle_name": "CATHERINE",
        "credential": "PT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

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.
  • 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.