Christine Guadalupe, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA29589 Issued in FL

Practice address

4450 W Eau Gallie Blvd Ste 180
Melbourne, FL 32934-7277

Phone

(321) 255-6627

NPI assigned

Dec 4, 2019

Sex

Female

Sole proprietor

Yes

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.

• Ability Plus Therapy Inc.

  • Pediatric Physical Therapist
  • Melbourne, FL
  • NPI 1598790156
  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1730726191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 W EAU GALLIE BLVD STE 180",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347277",
            "telephone_number": "321-255-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 W EAU GALLIE BLVD STE 180",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347277",
            "telephone_number": "321-255-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADALUPE",
        "first_name": "CHRISTINE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W. Grover, D.M.D.
• Grow Better Therapy LLC
• Taylor Grunzweig
• Yanqing Gu, MD
• Kerri Guadagni, PSY.D.
• Mitchell J Guanzon, APRN
• Guardian Angel Home Care Agency, LLC
• Jennifer Catapano Guarino, LMHC
• Maria Gudnitz
• Jose Adrian Guerra Chico, DMD

• Physical Therapy Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.