Tasi Ann Guerrero Ada, PT, DPT, CSCS

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305214606 Issued in VA

Practice address

185 Dulce Nombre de Maria Dr
Hagatna, GU 96910-4909

Phone

(671) 989-0436

NPI assigned

Aug 26, 2021

Last updated

Aug 26, 2021By 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

Other names 1

• Dr. Tasi Guerrero Ada Other name

Medicare fee-for-service enrollment

Enrolled in GU

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Custom Fitness LLC

  dba CrossFit Gof Metgot

  • Physical Therapy Clinic/Center
  • Asan, GU
  • NPI 1902217896
  Medicare reassignment NPD

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1861169815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3854",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969323854",
            "telephone_number": "671-683-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 DULCE NOMBRE DE MARIA DR",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969104909",
            "telephone_number": "671-989-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADA",
        "first_name": "TASI ANN",
        "middle_name": "GUERRERO",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305214606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASI",
            "last_name": "ADA",
            "middle_name": "GUERRERO",
            "prefix": "DR.",
            "credential": "PT, DPT, CSCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aedificare, LLC (Agility Prosthetics & Orthotics)
• McEllen Ayako Alfred, LCSW
• Jobeth San Nicolas Aquino, M.A., MFT-124
• Steve Anthony Arthur, DC
• Thomas Babauta, MSW, ACSW,QCSW,IMFT

• Physical Therapy Clinic/Center in Hagatna, GU
• Providers in Hagatna, GU by specialty
• Physical Therapy Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.