Violeta Susan Guardado, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19963 Issued in MD

Practice address

6935 Laurel Ave Ste 202
Takoma Park, MD 20912-4413

Phone

(301) 718-2820

Fax

(301) 718-2821

NPI assigned

Apr 26, 2006

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 identifiers 2

Other names 1

• V Susan Guardado Professional name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• VSG PT, LLC

  • Physical Therapist
  • Takoma Park, MD
  • NPI 1821200510

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1902863947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 LAUREL AVE STE 202",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124413",
            "telephone_number": "301-718-2820",
            "fax_number": "301-718-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 LAUREL AVE STE 202",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124413",
            "telephone_number": "301-718-2820",
            "fax_number": "301-718-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDADO",
        "first_name": "VIOLETA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "555AVS",
            "identifier": "BCBS",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "J496",
            "identifier": "BCBS",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "V SUSAN",
            "last_name": "GUARDADO",
            "credential": "MPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria Mika Graviet, LGMFT
• Gregory O. Catchings DMD PA
• Daniel Michael Griffin, PHD
• Julia Berman Grossman, PA-C
• Jessica Anne Gruber
• Alemeshet Yami Gudeta, MD
• Lilliane Guianain
• Maria Christina Guidorizzi, M.S.
• Misra Tabor Gurmu
• Andrei Gursky, MD

• Physical Therapist in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.