Individual provider Active NPI

DJ De Guzman, PT

  • Physical Therapist
  • Amarillo, TX
National Provider Identifier
1851677728
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1210159 Issued in TX
Practice address
1510 S Van Buren St
Amarillo, TX 79101-4130
Phone
(806) 376-1177
NPI assigned
Oct 24, 2011
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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 1210159 TX Primary

Addresses

Primary practice location

1510 S Van Buren St
Amarillo, TX 79101-4130

Mailing address

1510 S Van Buren St
Amarillo, TX 79101-4130
Phone (806) 337-4000

Other identifiers 1

IdentifierTypeStateIssuer
184743601MedicaidTX

Other names 1

  • Mr. Davin Jason Almonte De Guzman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Community Services CurrentSince Jun 15, 2021 Accepting new patients
Kidiatric Therapy Services Past Accepting new patients

Locations

1510 S Van Buren St
Amarillo, TX 79101
Phone (806) 337-4000

400 W 14th Ave
Amarillo, TX 79101
Phone (806) 337-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1851677728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S VAN BUREN ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014130",
            "telephone_number": "806-337-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S VAN BUREN ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014130",
            "telephone_number": "806-376-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "DJ",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1210159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184743601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVIN JASON",
            "last_name": "DE GUZMAN",
            "middle_name": "ALMONTE",
            "prefix": "MR.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.