Active NPI
Marc Guillet, PT
- Physical Therapist
- Palo Alto, CA
National Provider Identifier
1992871974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17712
- Practice address
- 795 El Camino Real
Palo Alto, CA 94301-2302 - Phone
- (650) 853-3355
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | PT17712 | CA | Primary |
Addresses
Primary practice location
795 El Camino Real
Palo Alto, CA 94301-2302
Mailing address
2350 W El Camino Real
2ND Floor
Mountain View, CA 94040-6203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT17712 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodman Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Agile Physical Therapy Inc | Current | Accepting new patients |
Locations
2001 S Barrington Ave
Ste 119
Los Angeles, CA 90025
Phone (310) 441-1102
3825 El Camino Real
Palo Alto, CA 94306
Phone (856) 296-2860
77 Battery St
Ste 400
San Francisco, CA 94111
1670 S Amphlett Blvd
Ste 123
San Mateo, CA 94402
Phone (650) 558-0247
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1659445443
-
- Physical Therapist
- Los Angeles, CA
- NPI 1205017514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1992871974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W EL CAMINO REAL",
"address_2": "2ND FLOOR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 EL CAMINO REAL",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012302",
"telephone_number": "650-853-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLET",
"first_name": "MARC",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.