IndividualActive
Carlo Ray Gutierrez, PTA
NPI 1114139466 · Physical Therapy Assistant · Miami Lakes, FL
Provider details
- NPI number
- 1114139466
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA20760 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15344 Nw 79th Ct
Miami Lakes, FL 33016-5850
Phone: (305) 821-0502
Fax: (305) 362-5209
Street-level locationGet directions
Mailing address
19631 Nw 77th Ct
Hialeah, FL 33015-6402
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.