Fatima Gutierrez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA50541 Issued in CA

Practice address

264 N Highland Springs Ave Ste 4
Banning, CA 92220-3082

Phone

(951) 769-7900

Fax

(888) 854-7592

NPI assigned

Apr 9, 2020

Last updated

Apr 9, 2020By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Emergency Medical Office Inc a Professional Medical Corporation

  dba Rancho Paseo Medical Group, Inc.

  • Family Medicine Physician
  • Banning, CA
  • NPI 1992723803
  NPD
• HL&L Physical Therapy, Inc.

  dba Redlands Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Redlands, CA
  • NPI 1740635861
  NPD

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1740809896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 BARTON RD STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734419",
            "telephone_number": "909-255-1694",
            "fax_number": "909-307-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N HIGHLAND SPRINGS AVE STE 4",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203082",
            "telephone_number": "951-769-7900",
            "fax_number": "888-854-7592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 Barton Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734419",
            "country_code": "US",
            "telephone_number": "909-255-1694",
            "fax_number": "909-307-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "FATIMA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA50541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Group Home Support Services (New Beginnings Addiction & Recovery Center)
• Andrea Grout
• Carol L. Groves
• Heather Grundy
• Andrew Melbon Gultom, COTA
• Timothy David Gysin, MFT
• Hagans Enterprises Inc. (Miracle-Ear Centers of Hemet)
• Veronica Hammond, CAADE
• Stella Harefa, PHARMD
• Latrice Harris, MFT TRAINEE

• Physical Therapy Assistant in Banning, CA
• Providers in Banning, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.