Nadyne Gutierrez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2133526 Issued in TX

Practice address

11351 James Watt Dr
El Paso, TX 79936-6627

Phone

(915) 849-6602

Fax

(915) 849-6603

NPI assigned

Jul 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Akomolafe Professional Corporation

  • Physical Therapist
  • El Paso, TX
  • NPI 1407941768
  NPD (past)

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1710465992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 JAMES WATT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366627",
            "telephone_number": "915-849-6602",
            "fax_number": "915-849-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 JAMES WATT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366627",
            "telephone_number": "915-849-6602",
            "fax_number": "915-849-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "NADYNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2133526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Gutierrez
• Melinda Olivarez Gutierrez, RN, IBCLC
• Michael Edward Gutierrez, MD
• Michelle Gutierrez, P.T.
• Monica Elisa Gutierrez
• Octavio E. Gutierrez, M.D., P.A.
• Priscilla Gutierrez, LPC
• Ramiro Martin Gutierrez, D.C.
• Robert A Gutierrez, PHARMD
• Robert M Gutierrez, NP

• Physical Therapy Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.