Active NPI
Noel Gutierrez
- Geriatric Physical Therapist
- Round Rock, TX
National Provider Identifier
1891125308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1129732
- Practice address
- 2700 Sunrise Rd
Round Rock, TX 78665-9323 - Phone
- (512) 388-1528
- Fax
- (512) 388-1528
- NPI assigned
- Nov 19, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 1129732 | TX | Primary |
Addresses
Primary practice location
2700 Sunrise Rd
Round Rock, TX 78665-9323
Mailing address
2700 Sunrise Rd
Round Rock, TX 78665-9323
Phone (512) 388-1528
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1891125308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SUNRISE RD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786659323",
"telephone_number": "512-388-1528",
"fax_number": "512-388-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 SUNRISE RD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786659323",
"telephone_number": "512-388-1528",
"fax_number": "512-388-1528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "NOEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-19",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1129732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.