Individual provider Active NPI

Joel Garcia De Guia, PT

  • Physical Therapist
  • Joplin, MO
National Provider Identifier
1831367556
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009507A Issued in IN
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

Updated by the provider on Feb 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240209003760 MO Practitioner - Physical Therapist in Private Practice 4880948975 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05009507AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation,Inc. Current Accepting new patients
Key Rehabilitation Inc CurrentSince Feb 1, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jan 4, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jan 4, 2024 Accepting new patients
Key Rehabilitation, Inc CurrentSince Feb 1, 2024 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.

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.

Verify at the official NPI Registry.