Individual provider Active NPI

Carol Christine Gushwa

  • Orthopedic Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1942522396
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT11545 Issued in FL
Practice address
2373 SW 30TH Ter
Fort Lauderdale, FL 33312-4368
Phone
(954) 587-6674
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT11545 FL Primary

Addresses

Primary practice location

2373 SW 30TH Ter
Fort Lauderdale, FL 33312-4368

Mailing address

2373 SW 30TH Ter
Fort Lauderdale, FL 33312-4368
Phone (954) 587-6674

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1942522396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 SW 30TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124368",
            "telephone_number": "954-587-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 SW 30TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124368",
            "telephone_number": "954-587-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSHWA",
        "first_name": "CAROL",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT11545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.