Active NPI
Guile Garza Rivera, PT, DPT
- Physical Therapist
- Corpus Christi, TX
National Provider Identifier
1710466495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1309027
- Practice address
- 2033 Airline Rd Ste E7
Corpus Christi, TX 78412-4694 - Phone
- (361) 500-6686
- NPI assigned
- Aug 13, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1309027 | TX | Primary |
Addresses
Primary practice location
2033 Airline Rd Ste E7
Corpus Christi, TX 78412-4694
Mailing address
6126 Lost Creek Dr
Corpus Christi, TX 78413-2915
Phone (361) 510-0915
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1309027 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
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.
-
- Physical Therapist
- Corpus Christi, TX
- NPI 1255033080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1710466495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6126 LOST CREEK DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784132915",
"telephone_number": "361-510-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 AIRLINE RD STE E7",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784124694",
"telephone_number": "361-500-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "GUILE",
"middle_name": "GARZA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1309027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.