Active NPI
Kim Parker-Guerrero, PT, DPT
- Physical Therapist
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42895
- Practice address
- 1400A N Washington Ave # 7
Roswell, NM 88201-8267 - Phone
- (575) 214-2355
- NPI assigned
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 42895 | NM | Primary |
Addresses
Primary practice location
1400A N Washington Ave # 7
Roswell, NM 88201-8267
Mailing address
203 Three Cross Dr
Roswell, NM 88201-7827
Phone (575) 317-0336
Other practice location 1
203 Three Cross Dr
Roswell, NM 88201-7827
Phone (575) 317-0336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04000081 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
607 W Country Club Rd
Roswell, NM 88201-5211
Phone (575) 214-2355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42895 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Evora Therapy Services LLC | Past | Accepting new patients |
Locations
1400 N Washington Ave
Ste A
Roswell, NM 88201
Phone (575) 910-1440
607 W Country Club Rd
Roswell, NM 88201
Phone (575) 208-7795
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Roswell, NM
- NPI 1952093031
Physical Therapist
-
- Clinical Social Worker
- Roswell, NM
- NPI 1902750896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1871290346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 THREE CROSS DR",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882017827",
"telephone_number": "575-317-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400A N WASHINGTON AVE # 7",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882018267",
"telephone_number": "575-214-2355"
}
],
"practiceLocations": [
{
"address_1": "203 Three Cross Dr",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882017827",
"country_code": "US",
"telephone_number": "575-317-0336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER-GUERRERO",
"first_name": "KIM",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "42895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04000081",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.