Active NPI
Joel Garcia De Guia, PT
- Physical Therapist
- Joplin, MO
National Provider Identifier
1831367556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009507A
- Practice address
- 214 W 5TH St Ste D&E
Joplin, MO 64801-2501 - Phone
- (417) 782-2917
- NPI assigned
- Feb 15, 2008
- Sex
- Male
- 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 | 05009507A | IN | Primary |
Addresses
Primary practice location
214 W 5TH St Ste D&E
Joplin, MO 64801-2501
Mailing address
214 W 5TH St Ste D&E
Joplin, MO 64801-2501
Phone (417) 782-2917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009507A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Rehabilitation,Inc. | Current | Accepting new patients | |
| Key Rehabilitation Inc | Current | Accepting new patients | |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Key Rehabilitation, Inc | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
620 N Jefferson St
Saint James, MO 65559
Phone (573) 265-0448
1131 E Lakewood St
Springfield, MO 65810
Phone (417) 429-3666
1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240
Organizations & group practices 6
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.
-
- Psychologist
- Salem, MO
- NPI 1821335613
-
- Physical Therapist
- Springfield, MO
- NPI 1336731587
-
- Rehabilitation Hospital Unit
- Carthage, MO
- NPI 1588781686
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
-
- Clinical Psychologist
- Fargo, ND
- NPI 1679328975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1831367556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W 5TH ST STE D&E",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012501",
"telephone_number": "417-782-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W 5TH ST STE D&E",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012501",
"telephone_number": "417-782-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GUIA",
"first_name": "JOEL",
"middle_name": "GARCIA",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009507A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.