Marisol Guerrero, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2116619 Issued in TX

Practice address

1310 E Broadway St
Cuero, TX 77954-2133

Phone

(361) 275-9133

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1821578154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 REBECCA LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012505",
            "telephone_number": "361-935-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E BROADWAY ST",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779542133",
            "telephone_number": "361-275-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MARISOL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2116619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie M Gomez, MS SLP CCC
• Jennifer L Gonzales, M.D.
• Stephanie Goodman
• Gracia Medical, LLP (Bohman Clinic)
• Crystal Dawn Guajardo
• H-E-B, LP (HEB Pharmacy #712)
• Beverly Claire Haliburton, RN FNPC
• Herbert J Hall, NURSE PRACTITIONER
• Hamilton County Hospital District (Avir at Cuero)
• Adjoa A Hanson, M.D.

• Physical Therapy Assistant in Cuero, TX
• Providers in Cuero, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.