Organization Active NPI

Deguzman, LTD

Doing business as UnitedProCare

  • Physical Therapist
  • Plano, IL
National Provider Identifier
1891187308
Registry record updated Feb 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014643 Issued in IL
Legal business name
DEGUZMAN, LTD
Doing business as
UnitedProCare
Practice address
918 Rachel CT
Plano, IL 60545-9814
Phone
(848) 203-9915
NPI assigned
Feb 21, 2015
Last updated
Feb 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2015

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

Authorized official

Name
Romeo De GuzmanNPI 1013182435
Title
Owner
Phone
(848) 203-9915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070014643 IL Primary

Addresses

Primary practice location

918 Rachel CT
Plano, IL 60545-9814

Mailing address

918 Rachel CT
Plano, IL 60545-9814
Phone (848) 203-9915

Other names 1

  • UnitedProCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150406000766 IL Part B Supplier - Clinic/Group Practice 7618295544 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424476800000",
    "number": "1891187308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 RACHEL CT",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605459814",
            "telephone_number": "848-203-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 RACHEL CT",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605459814",
            "telephone_number": "848-203-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGUZMAN, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-203-9915"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnitedProCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; 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.