Organization Active NPI

Power Physical Therapy & Wellness Center, PLLC

  • Physical Therapist
  • Laredo, TX
National Provider Identifier
1962649947
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1114338 Issued in TX
Legal business name
POWER PHYSICAL THERAPY & WELLNESS CENTER, PLLC
Practice address
1219 Corpus Christi St
Ste a
Laredo, TX 78040-5313
Phone
(956) 206-8116
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Mrs. Ida Guerra Gutierrez, PT
Title
Physical Therapist/Co-Owner
Phone
(956) 206-8116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1114338 TX Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 2039675 TX

Addresses

Primary practice location

1219 Corpus Christi St
Ste a
Laredo, TX 78040-5313

Mailing address

1219 Corpus Christi St
Ste a
Laredo, TX 78040-5313
Phone (956) 206-8116

National Provider Directory

National Provider Directory

Locations

1219 Corpus Christi St
Unit A
Laredo, TX 78040
Phone (956) 568-5032

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1962649947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 CORPUS CHRISTI ST",
            "address_2": "STE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405313",
            "telephone_number": "956-206-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 CORPUS CHRISTI ST",
            "address_2": "STE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405313",
            "telephone_number": "956-206-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER PHYSICAL THERAPY & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "IDA",
        "authorized_official_middle_name": "GUERRA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "956-206-8116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1114338",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2039675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.