Active NPI
Bette McCombs Guzman, PT
- Physical Medicine & Rehabilitation Physician
- Pleasant Hill, IA
National Provider Identifier
1780694497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT00003555
- Practice address
- 5180 Boulder Dr
Pleasant Hill, IA 50327-2308 - Phone
- (515) 339-0405
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT00003555 | WA | Primary |
| Physical Therapist | 225100000X | 004154 | IA |
Addresses
Primary practice location
5180 Boulder Dr
Pleasant Hill, IA 50327-2308
Mailing address
5180 Boulder Dr
Suite 1020
Pleasant Hill, IA 50327-2308
Phone (515) 339-0405
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00003555 | WA | MD | Physical Medicine & Rehabilitation Physician |
| 004154 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Iowa Therapeutics PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Chicago, IL
- NPI 1023064144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1780694497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5180 BOULDER DR",
"address_2": "SUITE 1020",
"city": "PLEASANT HILL",
"state": "IA",
"postal_code": "503272308",
"telephone_number": "515-339-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5180 BOULDER DR",
"city": "PLEASANT HILL",
"state": "IA",
"postal_code": "503272308",
"telephone_number": "515-339-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "BETTE",
"middle_name": "MCCOMBS",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "PT00003555",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.