Active NPI
Luis Henry Guerrero, O.T.
- Pediatric Occupational Therapist
- Ridgefield, CT
National Provider Identifier
1700199593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 010536-1
- Practice address
- 91 Neds Mountain Rd
Ridgefield, CT 06877-1312 - Phone
- (203) 243-0357
- NPI assigned
- Jul 21, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 010536-1 | NY | Primary |
Addresses
Primary practice location
91 Neds Mountain Rd
Ridgefield, CT 06877-1312
Mailing address
91 Neds Mountain Rd
Ridgefield, CT 06877-1312
Phone (203) 243-0357
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 |
|---|---|---|---|
| 010536-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1700199593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 NEDS MOUNTAIN RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068771312",
"telephone_number": "203-243-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 NEDS MOUNTAIN RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068771312",
"telephone_number": "203-243-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "LUIS",
"middle_name": "HENRY",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "010536-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.