Ma Olivia N De Guzman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7844 Issued in FL

Practice address

2200 Kings Hwy
Suite 2F
Port Charlotte, FL 33980-5759

Phone

(941) 457-7775

NPI assigned

Sep 12, 2007

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• O.a.Saver LLC

  dba Saver Physical Therapy

  • Physical Therapy Clinic/Center
  • Palatka, FL
  • NPI 1952971491

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1902091903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S PALM AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774148",
            "telephone_number": "386-385-5499",
            "fax_number": "386-385-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KINGS HWY",
            "address_2": "SUITE 2F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805759",
            "telephone_number": "941-457-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "MA OLIVIA",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y8615",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Davis
• Marissa Davis, MA CCC-SLP
• Patience Marie Davis, APRN
• Anet De Armas Herrera
• Vanessa O De Armas, ARNP
• Glenda Ivis De la Paz, DMD
• Luis Manuel De la Puente, DDS
• Teresita C De Lara, M.D.
• Rita Felicia De Palma, ARNP
• Chitradeep De, MD

• Physical Therapist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.

Verify at the official NPI Registry.