Active NPI
Julie Marie Guinn, PT
- Physical Therapist
- Harrisonville, MO
National Provider Identifier
1912311473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2014024221
- Practice address
- 815 Westchester Ave
Harrisonville, MO 64701-1784 - Phone
- (816) 380-3344
- Fax
- (816) 380-3044
- NPI assigned
- Jun 12, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04824 | KS | |
| Physical Therapist | 225100000X | 2014024221 | MO | Primary |
Addresses
Primary practice location
815 Westchester Ave
Harrisonville, MO 64701-1784
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (816) 226-4011
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000458 | Other | OPTUM | |
| 50760011 | Other | BCBS-KC | |
| KA2868058 | Other | KS | MEDICARE PTAN |
| MA4370082 | Other | MO | MEDICARE PTAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-04824 | KS | MD | Physical Therapist |
| 2014024221 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1912311473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "816-226-4011",
"fax_number": "816-524-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 WESTCHESTER AVE",
"city": "HARRISONVILLE",
"state": "MO",
"postal_code": "647011784",
"telephone_number": "816-380-3344",
"fax_number": "816-380-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINN",
"first_name": "JULIE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04824",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2014024221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM",
"identifier": "000458",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-KC",
"identifier": "50760011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "KA2868058",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MA4370082",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.