Kenner Gutierrez, MA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA26844 Issued in FL

Practice address

13595 SW 134TH Ave Ste 207
Miami, FL 33186-4580

Phone

(786) 218-7690

Fax

(305) 259-6778

NPI assigned

Dec 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• K & I Rehab Medical Center Corp

  • Clinic/Center
  • Miami, FL
  • NPI 1255612867
  NPD (past) Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1740558584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13595 SW 134TH AVE STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864580",
            "telephone_number": "786-218-7690",
            "fax_number": "305-259-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13595 SW 134TH AVE STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864580",
            "telephone_number": "786-218-7690",
            "fax_number": "305-259-6778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 SW PORT ST LUCIE BLVD",
            "address_2": "STE 107",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "34986",
            "country_code": "US",
            "telephone_number": "877-219-2088",
            "fax_number": "305-259-6778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7947 NW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331268000",
            "country_code": "US",
            "telephone_number": "305-413-9423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 PINES BLVD",
            "address_2": "UNITE 25",
            "address_purpose": "LOCATION",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "country_code": "US",
            "telephone_number": "305-413-9558",
            "fax_number": "305-259-6778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "KENNER",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 64023",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA26844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan M. Gutierrez, M.D.
• Juana Gutierrez
• Juana Maria Gutierrez, M.D.
• Karoline Yatcely Gutierrez, MD
• Kaylee Gutierrez
• Laura Gutierrez, NP
• Laura Beatriz Gutierrez, MD
• Lazara Gutierrez Gutierrez
• Lisett Gutierrez, LMHC
• Maily Gutierrez

• Physical Therapy Assistant in Miami, FL
• Providers in Miami, 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 Mar 21, 2024; 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.