Active NPI
Melissa Ann Guieb, D.P.T.
- Pediatric Physical Therapist
- Lynwood, CA
National Provider Identifier
1972900868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT42760
- Practice address
- 3737 Martin Luther King Jr Blvd Ste 500
Lynwood, CA 90262-3533 - Phone
- (562) 333-3700
- NPI assigned
- Nov 20, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT42760 | CA | Primary |
Addresses
Primary practice location
3737 Martin Luther King Jr Blvd Ste 500
Lynwood, CA 90262-3533
Mailing address
3737 Martin Luther King Jr Blvd Ste 500
Lynwood, CA 90262-3533
Other practice location 1
50 E Foothill Blvd
Ste 100
Arcadia, CA 91006-2314
Phone (626) 445-2400
Other practice location 2
50 E Foothill Blvd
Ste 100
Arcadia, CA 91006-2314
Phone (626) 445-2400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT42760 | CA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapies, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1972900868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD STE 500",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD STE 500",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623533",
"telephone_number": "562-333-3700"
}
],
"practiceLocations": [
{
"address_1": "50 E Foothill Blvd",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "CA",
"postal_code": "910062314",
"country_code": "US",
"telephone_number": "626-445-2400",
"fax_number": "626-445-2419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 E Foothill Blvd",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "CA",
"postal_code": "910062314",
"country_code": "US",
"telephone_number": "626-445-2400",
"fax_number": "626-445-2419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUIEB",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT42760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.