Individual provider Active NPI

Grettel Cuevas Guerra

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1699433540
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA31669 Issued in FL
Practice address
9581 Fontainebleau Blvd Apt 506
Miami, FL 33172-6849
Phone
(786) 238-6450
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA31669 FL Primary

Addresses

Primary practice location

9581 Fontainebleau Blvd Apt 506
Miami, FL 33172-6849

Mailing address

9581 Fontainebleau Blvd Apt 506
Miami, FL 33172-6849
Phone (786) 238-6450

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
PTA31669FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1699433540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9581 FONTAINEBLEAU BLVD APT 506",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726849",
            "telephone_number": "786-238-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9581 FONTAINEBLEAU BLVD APT 506",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726849",
            "telephone_number": "786-238-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS GUERRA",
        "first_name": "GRETTEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA31669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.