LUIS ALBERTO GUAJARDO PT, DPT, OCS
NPI 1104309103
Physical Therapist - Orthopedic in Anchorage, AK
About Luis Alberto Guajardo Pt, Dpt, Ocs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUIS ALBERTO GUAJARDO PT, DPT, OCS (NPI 1104309103) is an individual orthopedic provider in Anchorage, Alaska, licensed in Alaska (229862) and active in the NPI registry since September 2018.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Luis Alberto Guajardo Pt, Dpt, Ocs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Luis Guajardo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANCHORAGE, AK 99508
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Luis Guajardo's NPI number?
The NPI number for Luis Guajardo is 1104309103. It was assigned to this individual provider in the NPPES registry on September 14, 2018.
Where is Luis Guajardo located?
Luis Guajardo practices at 3801 University Lake Dr, Anchorage, AK 99508. The listed phone number is (956) 286-6258.
What is Luis Guajardo's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Luis Guajardo enrolled in Medicare?
Yes. Luis Guajardo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Luis Guajardo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luis Guajardo reassigns Medicare benefits to Alaska Native Tribal Health Consortium (Anchorage, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis Guajardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Luis Guajardo was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Luis Alberto Guajardo, PT, DPT, OCS · NPI 1104309103
Orthopedic provider in Anchorage, Alaska. Individual provider, active in the CMS NPPES registry since September 14, 2018.
## Identity
- **NPI:** 1104309103 (Entity type: Individual)
- **Enumerated:** September 14, 2018
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 229862 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 3801 UNIVERSITY LAKE DR, Anchorage, AK 99508-4658
- **Phone:** (956) 286-6258
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104309103) · Data from the CMS NPPES public registry.