Active NPI
Rio Glenda De Guzman, PT, RN
- Physical Therapist
- Pearland, TX
National Provider Identifier
1760203822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1305983
- Practice address
- Pearland Clinic Aveanna Healthcare 9330 Broadway
Suite 312
Pearland, TX 77584 - Phone
- (713) 383-9700
- NPI assigned
- Oct 22, 2024
- Last updated
- Oct 22, 2024
- Sex
- Female
- 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 | 1305983 | TX | Primary |
Addresses
Primary practice location
Pearland Clinic Aveanna Healthcare 9330 Broadway
Suite 312
Pearland, TX 77584
Mailing address
Pearland Clinic Aveanna Healthcare 9330 Broadway
Suite 312
Pearland, TX 77584
Phone (713) 383-9700
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1305983 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1760203822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PEARLAND CLINIC AVEANNA HEALTHCARE 9330 BROADWAY",
"address_2": "SUITE 312",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77584",
"telephone_number": "713-383-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PEARLAND CLINIC AVEANNA HEALTHCARE 9330 BROADWAY",
"address_2": "SUITE 312",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77584",
"telephone_number": "713-383-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GUZMAN",
"first_name": "RIO GLENDA",
"credential": "PT, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1305983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.