Active NPI
Joanna Guevara
- Physical Therapy Assistant
- Kenilworth, NJ
National Provider Identifier
1932646072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00265200
- Practice address
- 227 N 15TH St
Second Floor
Kenilworth, NJ 07033-1226 - Phone
- (908) 425-1030
- NPI assigned
- Jan 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00265200 | NJ | Primary |
Addresses
Primary practice location
227 N 15TH St
Second Floor
Kenilworth, NJ 07033-1226
Mailing address
227 N 15TH St
Second Floor
Kenilworth, NJ 07033-1226
Phone (908) 425-1030
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": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1932646072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 N 15TH ST",
"address_2": "SECOND FLOOR",
"city": "KENILWORTH",
"state": "NJ",
"postal_code": "070331226",
"telephone_number": "908-425-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 N 15TH ST",
"address_2": "SECOND FLOOR",
"city": "KENILWORTH",
"state": "NJ",
"postal_code": "070331226",
"telephone_number": "908-425-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA",
"first_name": "JOANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00265200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenilworth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.