Individual provider Active NPI

Rebeca Guajardo, CPO, LPO

  • Orthotist
  • Houston, TX
National Provider Identifier
1982018404
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
49-12156 Issued in TX
Practice address
11381 Meadowglen LN
Houston, TX 77082-6664
Phone
(281) 589-2040
Fax
(281) 589-2058
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 49-12156 TX Primary
Prosthetist 224P00000X LPO49 TX

Addresses

Primary practice location

11381 Meadowglen LN
Houston, TX 77082-6664

Mailing address

11381 Meadowglen LN
Houston, TX 77082-6664
Phone (281) 589-2040

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

LicenseStateTypeSpecialty
49-12156TXMDOrthotist
LPO49TXMDProsthetist

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": "1489017600000",
    "number": "1982018404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11381 MEADOWGLEN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826664",
            "telephone_number": "281-589-2040",
            "fax_number": "281-589-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11381 MEADOWGLEN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826664",
            "telephone_number": "281-589-2040",
            "fax_number": "281-589-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "REBECA",
        "credential": "CPO, LPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "49-12156",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "LPO49",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.