Terry Leroy Guptill, PT,ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008222 Issued in WA

Practice address

1242 11TH St
Clarkston, WA 99403-2815

Phone

(509) 758-2523

Fax

(509) 295-2952

NPI assigned

Nov 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Twin Rivers Physical Therapy, LLC

  • Physical Therapist
  • Clarkston, WA
  • NPI 1003982745
  NPD (past)
• Institute of Physical Therapy and Fitness

  • Physical Therapist
  • Lewiston, ID
  • NPI 1043392087
  NPD (past)
• Peak Physical Therapy P C

  • Physical Therapist
  • Boise, ID
  • NPI 1073551560
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1841470515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 11 STREET",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032490",
            "telephone_number": "509-758-2523",
            "fax_number": "509-295-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 11TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032815",
            "telephone_number": "509-758-2523",
            "fax_number": "509-295-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTILL",
        "first_name": "TERRY",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "PT,ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008222",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1541",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber N Griswold, RDH
• Lori J Grittner
• Jesse Grossman, RDH
• Dustin Guenthner
• Timothy J Gundy, OTR/L
• Amy J Gustin, RD
• Danika Gwinn, MA
• Gary D Haas, D.O.
• Angela Denise Hackler, DO 60530387
• Sierra Hadaller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.