Brenda Guan, PT,DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

070.027517 Issued in IL

Practice address

2536 Ewing Ave
Evanston, IL 60201-1214

Phone

(847) 905-0332

Fax

(847) 905-0003

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Northwestern University Feinberg Medical School, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports and Ortho PCGroup PAC ID 5698676740, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports and Ortho P.C

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1871640565
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1710668736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 KEENEY ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763203",
            "telephone_number": "773-715-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 EWING AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011214",
            "telephone_number": "847-905-0332",
            "fax_number": "847-905-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAN",
        "first_name": "BRENDA",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070.027517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine R Grund, L.C.S.W.
• Charles R Gruner, M.D.
• Kai Grunsten
• Jacqueline H Grygotis, L.C.S.W.
• Jessica Grygotis, MD
• Matthew Guarascio
• Leanna S Gudel, M.A., L.P.C.
• Laura M Guengerich
• Susan Bacharz Guenther, L.C.P.C.
• Carline Cassandra Guerrier, NP

• Physical Medicine & Rehabilitation Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.