Kathryn Greer Gerard Guncheon, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP022577T Issued in WA

Practice address

919 State Ave Ste 101
Marysville, WA 98270-4284

Phone

(804) 443-7972

NPI assigned

Jul 21, 2023

Last updated

Jul 21, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1811677008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 CLEARSTREAM TER",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231165186",
            "telephone_number": "804-443-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 STATE AVE STE 101",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704284",
            "telephone_number": "804-443-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNCHEON",
        "first_name": "KATHRYN",
        "middle_name": "GREER GERARD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "CP022577T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James B. Grierson, MD
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• Adrian Gunerius
• Deepika Gupte
• Kira Guyer
• Stephanie L Guzman-Fix, MA-C
• Renee Lee Guzman

• Physical Therapist in Marysville, WA
• Providers in Marysville, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.