MR. DEMIAN LUIS GUTIERREZ (NPI# 1235112756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235112756 |
| Entity Type | Individual |
| Full Name | MR. DEMIAN LUIS GUTIERREZ |
| Credential | PT |
| Practice Address |
1915 Randolph Rd Charlotte NC 28207-1101 |
| Mailing Address |
4601 Park Rd Ste 300 Charlotte NC 28209-3239 |
| Practice Telephone | 7043232000 |
| Mailing Telephone | 7043232000 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2010-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
7486 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1915 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711531 | Joseph Shepherd Cofer | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2005-09-21 |
| 1801449236 | Hanna Elizabeth Moore | Physical Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2019-07-24 |
| 1700362100 | Shelby Christine Wood | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2018-07-18 |
| 1417463555 | Michelle Glymph | Specialist/Technologist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2017-12-27 |
| 1386192698 | Halie Shipley Bryan | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207 | 2016-09-15 |
| 1881047751 | Sean Casey Brown | Physical Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2016-07-15 |
| 1114380144 | Ashley Coudron | Occupational Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2016-03-29 |
| 1225497118 | Kaitlyn Barger | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207 | 2016-02-19 |
| 1760853485 | Michael Edward Magalski | Physical Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2015-10-08 |
| 1669851416 | Nicholas Heller Lake | Orthopaedic Surgery | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2015-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
| 1396263620 | Daniel Steele | Physical Therapist | 7825 Ballantyne Commons Pkwy Ste 210, Charlotte, NC 28277-3729 | 2017-09-07 |
| 1831546993 | Michael Crinion | Physical Therapist | 8918 Blakeney Professional Dr Ste 120, Charlotte, NC 28277-6692 | 2016-05-18 |
| 1659741528 | Valerie Ashburn | Physical Therapist | 2630 E 7th St Ste 206, Charlotte, NC 28204-4319 | 2015-10-04 |
| 1013141647 | Melissa Rose Dupree | Physical Therapist | 2064 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4221 | 2009-05-11 |
| 1255310793 | Thomas S Campion | Physical Therapist | 3135 Springbank Ln, Suite 220, Charlotte, NC 28226-3360 | 2006-01-12 |
| 1326022344 | Carol Myrtle Green | Physical Therapist | 3541 Randolph Rd, Ste 100w, Charlotte, NC 28211-1082 | 2005-12-02 |
| 1295719425 | Jason Arthur Mcdowell | Physical Therapist | 4421 Sharon Rd Ste 100, Charlotte, NC 28211-5585 | 2005-12-01 |
| 1548244908 | Alan D Tyson | Physical Therapist | 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 | 2005-11-30 |
| 1881677375 | Jennifer Sue Kane | Physical Therapist | 5960 Fairview Rd, Suite 250, Charlotte, NC 28210-3102 | 2005-11-29 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.